Abnormal origin of the right posterior segmental bronchus: case report and literature review
Abstract Background With the increasing availability of chest computed tomography (CT), the detection of small pulmonary nodules has become more common, facilitating the development of lung segmental resection. However, anatomical variations of the bronchi are common, particularly in the right upper...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02296-0 |
| _version_ | 1797778709928738816 |
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| author | Tao Xu Hui Ye Wenshu Chen Zhongwen Jin Changjin He |
| author_facet | Tao Xu Hui Ye Wenshu Chen Zhongwen Jin Changjin He |
| author_sort | Tao Xu |
| collection | DOAJ |
| description | Abstract Background With the increasing availability of chest computed tomography (CT), the detection of small pulmonary nodules has become more common, facilitating the development of lung segmental resection. However, anatomical variations of the bronchi are common, particularly in the right upper lobe of the lung. Case presentation We report a case of thoracoscopic resection of the posterior segment of the right upper lobe of the lung. Preoperatively, the nodule was believed to be located in the superior segment of the right lower lobe. However, intraoperative exploration revealed that the nodule was located in the posterior segment of the right upper lobe, further showing that the bronchi of the posterior segment of the right lung opened into the bronchus intermedius. The procedure was completed uneventfully. Postoperative retrospective three-dimensional (3D) reconstruction of the lung CT images confirmed that the bronchi of the posterior segment of the right upper lobe originated from the bronchus intermedius. Conclusions This rare case highlights the importance of 3D reconstruction to guide accurate segmentectomy in patients with anatomic variations. |
| first_indexed | 2024-03-12T23:21:26Z |
| format | Article |
| id | doaj.art-821c393275cf4572a03ccda476d9e6a5 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-12T23:21:26Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-821c393275cf4572a03ccda476d9e6a52023-07-16T11:27:28ZengBMCJournal of Cardiothoracic Surgery1749-80902023-07-011811610.1186/s13019-023-02296-0Abnormal origin of the right posterior segmental bronchus: case report and literature reviewTao Xu0Hui Ye1Wenshu Chen2Zhongwen Jin3Changjin He4Department of Thoracic and Cardiac Surgery, Ningde Municipal Hospital Affiliated to Ningde Normal UniversityDepartment of Thoracic and Cardiac Surgery, Ningde Municipal Hospital Affiliated to Ningde Normal UniversityDepartment of Thoracic Surgery, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical UniversityDepartment of Thoracic and Cardiac Surgery, Ningde Municipal Hospital Affiliated to Ningde Normal UniversityDepartment of Thoracic and Cardiac Surgery, Ningde Municipal Hospital Affiliated to Ningde Normal UniversityAbstract Background With the increasing availability of chest computed tomography (CT), the detection of small pulmonary nodules has become more common, facilitating the development of lung segmental resection. However, anatomical variations of the bronchi are common, particularly in the right upper lobe of the lung. Case presentation We report a case of thoracoscopic resection of the posterior segment of the right upper lobe of the lung. Preoperatively, the nodule was believed to be located in the superior segment of the right lower lobe. However, intraoperative exploration revealed that the nodule was located in the posterior segment of the right upper lobe, further showing that the bronchi of the posterior segment of the right lung opened into the bronchus intermedius. The procedure was completed uneventfully. Postoperative retrospective three-dimensional (3D) reconstruction of the lung CT images confirmed that the bronchi of the posterior segment of the right upper lobe originated from the bronchus intermedius. Conclusions This rare case highlights the importance of 3D reconstruction to guide accurate segmentectomy in patients with anatomic variations.https://doi.org/10.1186/s13019-023-02296-0Three-dimensional reconstructionSegmentectomyVariationsRight upper lobe bronchusLung cancer |
| spellingShingle | Tao Xu Hui Ye Wenshu Chen Zhongwen Jin Changjin He Abnormal origin of the right posterior segmental bronchus: case report and literature review Journal of Cardiothoracic Surgery Three-dimensional reconstruction Segmentectomy Variations Right upper lobe bronchus Lung cancer |
| title | Abnormal origin of the right posterior segmental bronchus: case report and literature review |
| title_full | Abnormal origin of the right posterior segmental bronchus: case report and literature review |
| title_fullStr | Abnormal origin of the right posterior segmental bronchus: case report and literature review |
| title_full_unstemmed | Abnormal origin of the right posterior segmental bronchus: case report and literature review |
| title_short | Abnormal origin of the right posterior segmental bronchus: case report and literature review |
| title_sort | abnormal origin of the right posterior segmental bronchus case report and literature review |
| topic | Three-dimensional reconstruction Segmentectomy Variations Right upper lobe bronchus Lung cancer |
| url | https://doi.org/10.1186/s13019-023-02296-0 |
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