Fig. 2
From: Specific techniques for right sleeve lower lobectomy: four case reports
Images of a representative case (case 2). a Computed tomography image before surgery. b Intraoperative photograph. Because the tumor invaded the lower pulmonary artery, the pulmonary branch to the middle lobe was not preserved by an auto-suturing device or simple ligation. Interlobar dissection between the upper and middle lobes had already been performed; white box arrow. UL: upper lobe, ML: middle lobe, LL: lower lobe. c Angioplasty of the pulmonary artery was performed. Bronchoscopic findings. d Before surgery. The tumor occluded the orifice of the lower bronchus. e One week after surgery. The stump of the middle lobe bronchus was completely within the truncus intermedius. f Six months after surgery. The anastomotic site was covered with clean mucosa and the patency was good