Bronchoplastic lobectomy with wide wedge resection for lung cancer with long-term steroid medication

Ann Thorac Cardiovasc Surg. 2007 Dec;13(6):403-6.

Abstract

A 57-year-old man with erythrodermia, who was given 5-10 mg/day of prednisolone for 2.5 years, was admitted to our hospital for squamous cell lung carcinoma of the right upper lobe. A bronchoscopy revealed a tumor nearly obstructing the right upper lobe bronchus. A bronchoplastic lobectomy was performed with wide wedge resection of the main bronchus and truncus intermedius. A postoperative bronchoscopy revealed good healing of the anastomosis and a 3-dimensional construction of the bronchus with chest computed tomography demonstrated no stenotic change and no kinking change in the anastomosis. One year and 6 months after surgery, no local recurrence was seen in the region of bronchoplasty. Bronchoplastic lobectomy with wide wedge resection is a useful procedure in cases with risk factors of anastomotic dehiscence, such as after induction therapy or during long-term administration of adrenal cortical steroids.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Bronchi / pathology
  • Bronchoscopy
  • Comorbidity
  • Constriction, Pathologic
  • Dermatitis, Exfoliative / drug therapy*
  • Dermatitis, Exfoliative / epidemiology
  • Glucocorticoids / adverse effects
  • Humans
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Pneumonectomy / methods*
  • Prednisolone / adverse effects
  • Surgical Wound Dehiscence / chemically induced
  • Surgical Wound Dehiscence / prevention & control

Substances

  • Glucocorticoids
  • Prednisolone