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Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy
Middle lobe (ML) suffering after right upper lobectomy (RUL) is rare but represents a major complication usually due to lobar torsion. We report 3 atypical consecutive cases of ML suffering due to malposition of the 2 remaining right lobes with a 180° tilt. All 3 female patients had surgery for non–...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976767/ https://www.ncbi.nlm.nih.gov/pubmed/36810693 http://dx.doi.org/10.1093/icvts/ivad038 |
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author | Janet-Vendroux, Aurelie Al Zreibi, Charbel Reverdito, Guillaume Arame, Alex Badia, Alain Masmoudi, Hicham Messaoudi, Houssem Le Pimpec-Barthes, Francoise |
author_facet | Janet-Vendroux, Aurelie Al Zreibi, Charbel Reverdito, Guillaume Arame, Alex Badia, Alain Masmoudi, Hicham Messaoudi, Houssem Le Pimpec-Barthes, Francoise |
author_sort | Janet-Vendroux, Aurelie |
collection | PubMed |
description | Middle lobe (ML) suffering after right upper lobectomy (RUL) is rare but represents a major complication usually due to lobar torsion. We report 3 atypical consecutive cases of ML suffering due to malposition of the 2 remaining right lobes with a 180° tilt. All 3 female patients had surgery for non–small-cell carcinoma including RUL associated with radical hilar and mediastinal lymph node removal. Postoperative chest X-ray abnormalities appeared at days 1–3 respectively. The diagnosis of malposition of the 2 lobes was done on contrast-enhanced chest CT scan at days 7, 7 and 6, respectively. A reoperation for suspected ML torsion was required in all patients. Three repositionings of the 2 lobes and 1 middle lobectomy were performed. The postoperative courses were then uneventful, and the 3 patients were alive at a mean follow-up of 12 months. Before thoracic approach closure after RUL, systematic check of good positioning of the 2 reinflated remaining lobes is indispensable. It may prevent ML suffering secondary to 180° lobar tilt leading to whole pulmonary malposition. |
format | Online Article Text |
id | pubmed-9976767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-99767672023-03-02 Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy Janet-Vendroux, Aurelie Al Zreibi, Charbel Reverdito, Guillaume Arame, Alex Badia, Alain Masmoudi, Hicham Messaoudi, Houssem Le Pimpec-Barthes, Francoise Interdiscip Cardiovasc Thorac Surg Thoracic Oncology Middle lobe (ML) suffering after right upper lobectomy (RUL) is rare but represents a major complication usually due to lobar torsion. We report 3 atypical consecutive cases of ML suffering due to malposition of the 2 remaining right lobes with a 180° tilt. All 3 female patients had surgery for non–small-cell carcinoma including RUL associated with radical hilar and mediastinal lymph node removal. Postoperative chest X-ray abnormalities appeared at days 1–3 respectively. The diagnosis of malposition of the 2 lobes was done on contrast-enhanced chest CT scan at days 7, 7 and 6, respectively. A reoperation for suspected ML torsion was required in all patients. Three repositionings of the 2 lobes and 1 middle lobectomy were performed. The postoperative courses were then uneventful, and the 3 patients were alive at a mean follow-up of 12 months. Before thoracic approach closure after RUL, systematic check of good positioning of the 2 reinflated remaining lobes is indispensable. It may prevent ML suffering secondary to 180° lobar tilt leading to whole pulmonary malposition. Oxford University Press 2023-02-22 /pmc/articles/PMC9976767/ /pubmed/36810693 http://dx.doi.org/10.1093/icvts/ivad038 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Thoracic Oncology Janet-Vendroux, Aurelie Al Zreibi, Charbel Reverdito, Guillaume Arame, Alex Badia, Alain Masmoudi, Hicham Messaoudi, Houssem Le Pimpec-Barthes, Francoise Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title | Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title_full | Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title_fullStr | Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title_full_unstemmed | Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title_short | Middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
title_sort | middle lobe suffering due to malposition and 180° tilt of the 2 remaining lobes after right upper lobectomy |
topic | Thoracic Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976767/ https://www.ncbi.nlm.nih.gov/pubmed/36810693 http://dx.doi.org/10.1093/icvts/ivad038 |
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