title: Combined video-assisted thoracoscopic lung volume reduction surgery and lobectomy in a high-risk patient.
abstract: Nonsmall cell lung cancer often occurs in patients with severe emphysema. Lobectomy in these patients is often contraindicated due to extensive parenchymal destruction and subsequent pulmonary insufficiency. Video-assisted thoracoscopic lobectomy has been described as a less morbid procedure in high-risk patients. Lung volume reduction surgery has been shown to improve pulmonary function in selected patients with emphysema. We describe the successful combination of lobectomy and lung volume reduction surgery (LVRS) with a video-assisted thoracoscopic (VATS) approach in a high-risk patient with Stage I nonsmall cell lung cancer.
authors.affiliation: Department of Cardiothoracic Surgery, Marquette General Hospital, Marquette, Michigan, USA.
authors.forename: James W
authors.initials: JW
authors.lastname: Klena
authors.forename: Arthur F
authors.initials: AF
authors.lastname: Saari
authors.forename: David O
authors.initials: DO
authors.lastname: Peterson
authors.forename: Christianne
authors.initials: C
authors.lastname: Collins
authors.forename: Joel A
authors.initials: JA
authors.lastname: Johnson
mesh_terms: D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D011656:Pulmonary Emphysema / Q000150:complications / Q000601:surgery*; D012307:Risk Factors; D020775:Thoracic Surgery, Video-Assisted