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. 2023 Jan 6;12(1):9–22. doi: 10.21037/acs-2022-urats-23

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2023 Annals of Cardiothoracic Surgery. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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Running barbed suture on left-sided sleeve resections and tracheal anastomosis. (A) Surgical photo showing arm placement and the running barbed anastomosis of left main bronchus to left lower bronchus during a left upper sleeve lobectomy. (B) Surgical image showing the running barbed suture of left main bronchus to trisegmental B1-3 bronchus after a left lower + lingulectomy sleeve lobectomy. (C) Surgical image of second and third carinal sleeve anatomic segmentectomy showing the anastomosis of left main bronchus to left lower bronchus as the initial step. (D) Surgical image showing distal tracheal resection and reconstruction with barbed suture.