Bronchial segmentation of right bronchial tree and its variation: A Bronchoscopic Study

Authors

  • Srijana Thapa FCPS Thoracic Surgery, Dept. of Surgical Oncology (Thoracic Unit), BP Koirala Memorial Cancer Hospital Bharatpur, Nepal
  • Binay Thakur Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Sagar khatiwada Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Shachee Bhattarai Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Ashish Kharel Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Mahesh Mani Adhikari Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Sandeep Sapkota Dept. of Surgical oncology, thoracic surgery unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Laxmi Shrestha Dept. of Surgical oncology, Endoscopy unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal
  • Dipti Paudel Dept. of Surgical oncology, Endoscopy unit. B P Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.3126/njc.v9i1.77098

Keywords:

Right bronchial tree, Bronchoscopy, Segmental bronchial variation

Abstract

Background: Bronchoscopy is of paramount importance in the field of thoracic surgery. Over the years it has evolved as an important diagnostic and therapeutic tool. The aim of our study was to describe the frequency of right sided segmental bronchial variation identified during bronchoscopy.

Methods: A meticulous examination of both right and left bronchial tree was done during bronchoscopy in 60 patients. Indications for bronchoscopy was part of suspected malignancy work up. Segmental as well as the subsegmental bronchi (B1-10) were properly identified. Any accessory bronchus in the tracheobronchial tree was also noted.

Results: Our results show that there are no significant differences in the incidence of variations by sex. The highest recorded variations of 80.8% was found in the right lower lobe followed by right upper lobe with frequency of 40.4%whereas RML had no variation.

Conclusion: Significant segmental bronchial variations do exist in the general population. Bronchoscopy is also an important tool to delineate and confirm the segmental bronchial variations.

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Published

2025-04-01

How to Cite

Thapa, S., Thakur, B., khatiwada, S., Bhattarai, S., Kharel, A., Adhikari, M. M., … Paudel, D. (2025). Bronchial segmentation of right bronchial tree and its variation: A Bronchoscopic Study. Nepalese Journal of Cancer, 9(1), 74–78. https://doi.org/10.3126/njc.v9i1.77098

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Original Articles