Treatment of patient with lung cancer and invasion in truncus of left lung artery

A case of treating a 54-year-old patient with central cancer located in the upper lobe of the left lung (T4 N0 M0, III stage) is presented. With tumor invaded in the trunk of the left lung artery, a decision was made to perform upper left lobectomy with resection of the left pulmonary artery trunk and circular bronchial resection of the left main bronchus. Both arterial and bronchial anastomoses were done by using an end-to-end technique. No complications were observed postoperatively. No anastomosis complications were observed during follow-up. The patient was examined during long-term follow-up, with no recurrent tumor recorded.