A VATS lobectomy for lung cancer in a patient with an anomalous pulmonary vein: report of a case.
A video-assisted right upper lobectomy was successfully performed on a 58-year-old man with an anomalous segmental pulmonary vein. The tumor was a peripherally located adenocarcinoma. The anomalous vein behind the right main bronchus was identified and safely divided. This case emphasized that to perform this procedure successfully, (1) a careful preoperative evaluation of the anatomy, including the presence of any possible vascular and/or bronchial anomalies, is necessary, and (2) if any anatomical structures cannot be determined intraoperatively, a conversion into an open procedure must immediately be undertaken.
Tsuboi
M
M
Division of Thoracic Surgery, National Cancer Center Hospital Tokyo, Japan.
Asamura
H
H
Naruke
T
T
Nakayama
H
H
Kondo
H
H
Tsuchiya
R
R
D000230:Adenocarcinoma / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D011667:Pulmonary Veins / Q000002:abnormalities*; D014741:Video Recording