Lingular segmentectomy and left lower lobectomy via unique bronchial dissection

In general, bronchoplasty is a procedure performed on tumors located near the hilar area to achieve radical resection while preserving pulmonary function by avoiding pneumonectomy (1-5). Bronchoplasty requires a rather complicated technique that involves bronchial sutures after division of the bronchus and is associated with the risk of serious postoperative complications, including dehiscence of the bronchial sutures (6). We recently encountered a case of adhesion of the interlobar lymph node to the bronchus, which made conventional left lower lobectomy unfeasible. To avoid bronchoplasty, we successfully performed lingular segmentectomy and left lower lobectomy by devising a unique dissection line.