Scholarlink

<p>Adenoid cystic carcinoma (ACC) of the proximal left main bronchus is rare and presents significant surgical challenges due to its anatomical location. We report the case of a 31-year-old woman who presented with dyspnea caused by a proximal left main bronchial ACC. Initial bronchoscopic debulking provided histological diagnosis and symptomatic relief. For definitive staging, a post-debulking PET-CT confirmed the presence of residual metabolically active disease at the primary site and showed no evidence of distant metastasis. Definitive treatment involved thoracoscopic-assisted sleeve resection via a right thoracic approach under non-intubated anesthesia with high-frequency jet ventilation. The procedure was converted to a mini-thoracotomy due to excessive mediastinal movement during the anastomotic phase. R0 resection was achieved, and the postoperative course was uneventful. This case demonstrates the feasibility of a right-sided approach for low-grade bronchial malignancies when lung preservation is a primary goal, and highlights the role of thoracoscopic assistance throughout a hybrid procedure.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Thoracoscopic-assisted right thoracic approach for resection of proximal left main bronchial adenoid cystic carcinoma

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月20日

查看全文
  • Zhihai Liu,
  • Dazhi Pang,
  • Guangqiang Shao,
  • Jitian Zhang

摘要

Adenoid cystic carcinoma (ACC) of the proximal left main bronchus is rare and presents significant surgical challenges due to its anatomical location. We report the case of a 31-year-old woman who presented with dyspnea caused by a proximal left main bronchial ACC. Initial bronchoscopic debulking provided histological diagnosis and symptomatic relief. For definitive staging, a post-debulking PET-CT confirmed the presence of residual metabolically active disease at the primary site and showed no evidence of distant metastasis. Definitive treatment involved thoracoscopic-assisted sleeve resection via a right thoracic approach under non-intubated anesthesia with high-frequency jet ventilation. The procedure was converted to a mini-thoracotomy due to excessive mediastinal movement during the anastomotic phase. R0 resection was achieved, and the postoperative course was uneventful. This case demonstrates the feasibility of a right-sided approach for low-grade bronchial malignancies when lung preservation is a primary goal, and highlights the role of thoracoscopic assistance throughout a hybrid procedure.