title: Re-thoracoscopic surgery for middle lobe torsion after right upper lobectomy.
abstract: After pulmonary resection, lobar torsion is a rare but potentially serious complication. The reported occurrence rate is 0.089-0.3%. Generally, management for this condition is exploration through 'open technique' thoracotomy with the resection of the affected lobe. A 68-year old male was diagnosed with right middle lobe torsion 1 day after a video-assisted thoracoscopic (VATS) right upper lobectomy. A second VATS right middle lobectomy was successfully performed through the same incisions. The careful follow-up and the prompt detection of lobar torsion using the VATS approach lead to a satisfactory outcome.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital,  Korea University College of Medicine, Seoul,  South Korea.
authors.forename: Ho Kyung
authors.initials: HK
authors.lastname: Sung
authors.forename: Hyun Koo
authors.initials: HK
authors.lastname: Kim
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Choi
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006469:Hemoptysis; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D013902:Radiography, Thoracic / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome