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Additionally, endotracheal tube in the right main bronchus was replaced to the trachea in the operation room.
In addition, the main bronchus was easily excised and cut within the main bronchus about 2 cm below the carina through a median sternotomy.
Next, the right main pulmonary artery and right upper and inferior veins were resected in the pericardium, and the right main bronchus was cut behind the pericardium, followed by reconstruction of the right BCV.
After performing a median sternotomy, the left main pulmonary artery and left upper and inferior veins were resected in the pericardium, and the left main bronchus was cut behind the pericardium through a median sternotomy.
The left main pulmonary artery and left upper and inferior veins were dissected and resected in the pericardium, while the left main bronchus was cut behind the pericardium through a median sternotomy.
We considered it difficult to excise the left main bronchus through a left posterolateral thoracotomy because the tumor invaded the hilum of the lung; thus, the left main bronchus was cut behind the pericardium through a median sternotomy (Additional file 1: Video 1).
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Approximately 75% of the injuries occur within 2 cm from the carina; the right main bronchus is more commonly injured than the trachea or left main bronchus.
Next, the right main pulmonary artery and right main bronchus were cut, followed by reconstruction of the right BCV (Additional file 3: Video 3).
Bronchoplasty without sacrificing of the parenchyma for a low-grade malignant tumor that originated in the main bronchus is an effective operation.
Generally, the intrathoracic vessels and main bronchus are dissected using a thoracotomy during a pleuropneumonectomy for patients with a malignant mesothelioma.
The right main bronchus is aborted and represented by a small diverticulum of the trachea, and the right upper lung lobe is absent [2, 6].
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