Surgical technique for preventing lung torsion after right upper and lower bilobectomy

Daisuke Eriguchi; Kentaro Imai; Naohiro Kajiwara; Norihiko Ikeda

doi:10.1093/icvts/ivad069

Surgical technique for preventing lung torsion after right upper and lower bilobectomy

Interdiscip Cardiovasc Thorac Surg. 2023 May 4;36(5):ivad069. doi: 10.1093/icvts/ivad069.

Authors

Daisuke Eriguchi¹, Kentaro Imai¹, Naohiro Kajiwara¹, Norihiko Ikeda²

Affiliations

¹ Department of Thoracic Surgery, Hachioji Medical Center of Tokyo Medical University, Tokyo, Japan.
² Department of Surgery, Tokyo Medical University, Tokyo, Japan.

Abstract

In cases of right upper and lower bilobectomy, careful manipulation is required to avoid lung torsion, as only the right middle lobe remains in the right thoracic cavity. We report a case of successful right upper and lower bilobectomy with no torsion of the middle lobe. Our technique prevents postoperative lung torsion by fixing the lung to the chest wall and pericardial fat with silk threads. In situations where lung torsion is a concern after lung resection, fixing the remaining lungs with silk thread is effective in preventing lung torsion.

Keywords: Multiple primary lung cancer; Postoperative lung torsion; Right upper and lower bilobectomy.