Successful video-assisted thoracic surgery lobectomy in a single-lung patient.
In terms of perioperative management, it is extremely difficult to perform a video-assisted thoracic surgery lobectomy for primary lung cancer in patients previously undergoing a contralateral pneumonectomy. We herein describe the successful video-assisted thoracic surgery lobectomy with systematic mediastinal lymph node dissection in a single-lung patient with clinical stage IA nonsmall cell lung cancer. Our experience indicates surgeons may consider the procedure if the following conditions are met: (1) satisfactory pulmonary function, (2) the selective bronchial blockade of the lobe to be resected, and (3) the effective retraction of the inflated lung.
Nakanishi
Ryoichi
R
Departments of Thoracic Surgery, Shin-Kokura Hospital, Federation of National Public Service, Personnel Mutual Aid Associations, Kanada 1-3-1, Kitakyushu, Japan. ryoichi@med.uoeh-u.ac.jp
Hirai
Ayako
A
Muranaka
Kenji
K
Shinohara
Koichi
K
D002289:Carcinoma, Non-Small-Cell Lung / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D019990:Perioperative Care; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*