Sleeve lobectomy of the middle lobe for hilar lung cancer with accompanying cardiomyopathy and actinomycosis

The indication for sleeve lobectomy of the middle robe is limited, because the frequency of cancer occupying both the middle robe and its bifurcation is low and the more commonly used middle and lower lobectomy is an alternat e procedure. However, if a patient has accompanying cardiopulmonary restric tion, lung preservation is paramount. We present a patient with hilar lung cancer (TisN0M0) associated with progressive cardio-myopathy, who underwent sleeve lobectomy of the middle lobe; the cancer took a favorable course.