Year: 2026
Type: article
Study design: Case Report
Abstract: Sleeve right lower lobectomy (SRLL) is an uncommon procedure for right lower lobe lung cancer involving the intermediate bronchus, mainly because it is more technically demanding than lower bilobectomy (LBL), particularly due to challenges such as bronchial caliber mismatch and anastomotic tension. We retrospectively reviewed four chronic obstructive pulmonary disease (COPD) patients who underwent SRLL at Akita University Hospital (2020-2023). All cases had squamous cell carcinoma pStage IB-IIB. Postoperative respiratory function exceeded the predicted postoperative values for LBL and even for right lower lobectomy, suggesting preservation of pulmonary function beyond initial estimates. One bronchopleural fistula occurred, but it healed with conservative treatment. No recurrences were observed. SRLL with middle lobe preservation may improve outcomes by reducing complications and preserving pulmonary function, especially in COPD patients.
Source: Thoracic Cancer
Authors: Yuzu Harata, Shinogu Takashima, Nobuyasu Kurihara, Shoji Kuriyama, Satoshi Kudo, Ryo Demura, Haruka Suzuki, Kazuhiro Imai
Institutions: Akita University Hospital, Omagari Kousei Medical Center
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,030
OpenAlex ID: W7128192891
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