Left upper lobe double sleeve lobectomy with double barrel anastomosis for lung adenocarcinoma

INTRODUCTION: Bronchoplasty is performed for both curability and preservation of the pulmonary function. CASE PRESENTATION: We herein report the findings of a 65-year old female patient who was admitted to our hospital to undergo surgical treatment for lung cancer. We successfully performed left upper lobe double sleeve lobectomy and reconstructed the site through bronchoplasty with double barrel (B6 + basal bronchus) anastomosis using inner ligation in a given location. DISCUSSION: The postoperative course was uneventful, and full-dose adjuvant chemotherapy was performed. No stenosis or narrowing of the airways was recognized. Chest CT also showed a good expansion of the residual lung, and the pulmonary function was also reserved. CONCLUSION: We propose the use of inner ligation in double barrel bronchoplasty at a particular site.