Y-lobectomy surgical techniques in patients with primary lung cancer


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In Vivo. 2022 Jan-Feb; 36 (1): 350-354. doi: 10.21873 / invivo.12709.


BACKGROUND / OBJECTIVE: Distal and proximal airway stump directions were different in Y lobectomy. This difference could make Y lobectomy a difficult procedure. In this article, we present our surgical techniques and analyze the short-term results of Y-lobectomy.

PATIENTS AND METHODS: Lobectomies of the middle and lower right, lower left and lower left and lingular segments are classified as Y lobectomy. We retrospectively studied the clinical outcomes of 17 patients who underwent Y lobectomy from January 2017 to December 2020 .

RESULTS: No treatment-related deaths occurred. One patient developed a bronchopleural fistula. Four patients developed pneumonia and were cured with repeated bronchoscopies and antibiotics. Three patients had retained pleural effusion and two had prolonged air leakage. One patient had an empyema after prolonged air leakage and was cured with chest drainage and antibiotics.

Conclusion: A major complication was observed in only one patient. Y-lobectomy is a reliable surgical method to prevent pneumonectomy.

PMID:34972733 | DO I:10.21873 / invivo.12709

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