{"title":"Thoracoscopic Bronchovascular (Double) Sleeve Lobectomy to Correct Intraoperative Vascular Injury: A Case Report.","authors":"Volkan Erdogu, Melike Ulker, Merve Ekinci Fidan, Ali Cevat Kutluk, Muzaffer Metin","doi":"10.14744/SEMB.2026.71463","DOIUrl":null,"url":null,"abstract":"<p><p>Double sleeve lobectomy, involving both bronchial and vascular reconstruction, is a complex but lung-sparing alternative to pneumonectomy for centrally located tumors. While traditionally performed via thoracotomy, its application through video-assisted thoracoscopic surgery (VATS) remains limited. We report the first known case of a double sleeve lobectomy in Türkiye performed via a VATS approach in a 58-year-old female with a centrally located left upper lobe pleomorphic carcinoma involving both the pulmonary artery and bronchus. This case demonstrates the technical feasibility of VATS double-sleeve lobectomy when performed by experienced surgeons and shows that a mistake made during pulmonary artery division does not necessarily result in pneumonectomy.</p>","PeriodicalId":42218,"journal":{"name":"Medical Bulletin of Sisli Etfal Hospital","volume":"60 1","pages":"124-129"},"PeriodicalIF":1.0000,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13077187/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Bulletin of Sisli Etfal Hospital","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14744/SEMB.2026.71463","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Double sleeve lobectomy, involving both bronchial and vascular reconstruction, is a complex but lung-sparing alternative to pneumonectomy for centrally located tumors. While traditionally performed via thoracotomy, its application through video-assisted thoracoscopic surgery (VATS) remains limited. We report the first known case of a double sleeve lobectomy in Türkiye performed via a VATS approach in a 58-year-old female with a centrally located left upper lobe pleomorphic carcinoma involving both the pulmonary artery and bronchus. This case demonstrates the technical feasibility of VATS double-sleeve lobectomy when performed by experienced surgeons and shows that a mistake made during pulmonary artery division does not necessarily result in pneumonectomy.
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