Video-assisted thoracic surgery lobectomy for lung cancer with displaced B1+2

Keisuke Asakura, Naoko Imanishi, Takahisa Matsuoka, Shinjiro Nagai, Katsunari Matsuoka, Mitsuhiro Ueda, Yoshihiro Miyamoto

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


A 52-year-old man was diagnosed with lung adenocarcinoma in the left upper lobe (c-T1bN0M0). Preoperative bronchoscopy revealed a displaced anomalous B1+2 arising from the left main bronchus. Multiplanar reconstruction computed tomography showed that the displaced B1+2 was located behind the left main pulmonary artery, and the interlobar fissure was largely fused. Video-assisted thoracic surgery (VATS) left upper lobectomy was performed successfully. The “no-touch fissure” technique was efficient not only for avoiding accidental cutting of the displaced bronchus but also post-operative air leakage. This is the first reported case of VATS lobectomy for lung cancer associated with a displaced B1+2.

Original languageEnglish
Pages (from-to)486-489
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Publication statusPublished - 2014
Externally publishedYes


  • Displaced bronchus
  • Lobectomy
  • Lung cancer
  • Multiplanar reconstruction
  • VATS

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology


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