Complex bronchovascular reconstruction: the description of a new segmental bronchoplasty technique.

The development of bronchial and vascular reconstruction techniques enables us to carry out lung resections that save the parenchyma. In 1947, Price-Thomas1 performed the first sleeve lobectomy in a bronchial adenoma. Later, Allison2 in 1959 reported the first case in a patient with carcinoma while also performing reconstruction of the pulmonary artery that had been infiltrated by the tumor. Our patient is a 78-year-old male with a smoking history of 80 pack-years who had developed COPD and was being treated with bronchodilators. On the chest CT, we observed a 4-cm tumor in the LUL that was in close contact with the bronchus of the lower lobe. Bronchoscopy demonstrated that the tumor was obstructing the upper left bronchus and extended toward the bronchus of the LLL. On PET, the lesion presented an increased metabolism with bilateral perihilar and hypermetabolic mediastinal lymphadenopathies. Ultrasound-guided bronchoscopy ruled out metastasis in said lymph node stations.