Kergin Pneumonectomy: A Rare Procedure


GEZER S., Oz G., Tastepe I.

ANNALS OF THORACIC SURGERY, vol.91, no.5, 2011 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 91 Issue: 5
  • Publication Date: 2011
  • Doi Number: 10.1016/j.athoracsur.2010.12.010
  • Title of Journal : ANNALS OF THORACIC SURGERY

Abstract

We have evaluated our cases of "Kergin" pneumonectomy in which a bronchial flap of the medial part of the right main stem bronchus was created during right pneumonectomy and was turned upward to cover the lateral airway defect at the level of the carina. Five male patients with a mean age of 53.6 underwent "Kergin" pneumonectomy due to nonsmall cell carcinoma arising from right upper lobe entrance, which does not allow a classical pneumonectomy. Postoperative pathology stagings were stage IIB in 1 patient and stage IIIA in 4 patients. Any operative mortality or short-term complication was not observed. Two of the patients died in the second year of follow-up. "Kergin" pneumonectomy is a rarely performed procedure with acceptable morbidity and mortality and good lung cancer resection. Actually, our current report of five cases will be one of the largest series of "Kergin" pneumonectomy. (Ann Thorac Surg 2011; 91: e77-8) (C) 2011 by The Society of Thoracic Surgeons