Figure 1:

Sequence of sleeve resection and anastomosis. (A) Exposure of left upper, lower and main bronchi. (B) Transection of left upper lobe bronchus. (C) Transection of main bronchus. (D) Retraction of artery and apposition of main and upper lobe bronchi with a 3–0 interrupted suture. (E) Posterior wall of anastomosis. (F) Interrupted 3–0 absorbable suture at the angle of anterior portion of the bronchial cartilage. (G) Continuous and interrupted sutures tied with the help of a thoracoscopic knot-pusher. (H) Continuous suture for the membranous portion of the bronchial membrane. (I) Use of endoscopic knot-pusher to tie the continuous suture with the last interrupted cranial suture to complete the anastomosis.