Two male patients were admitted with right upper lobe tumor. In both cases, standard upper lobectomy or sleeve lobectomy was not applicable because of the invasion of lateral wall of the lower trachea. The standard surgical option was tracheal sleeve pneumonectomy. Avoidance of pneumonectomy could be achieved by Nohl-Oser tracheobronchoplasty. Both patients had smooth postoperative course. We present these cases because of rarity and to emphasize the alternative techniques. The surgeon should be aware of the possibility of an alternative technique. ?? 2004 Elsevier B.V. All rights reserved.
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