Thoracoscopic lobectomy for lung cancer after coronary artery bypass grafting using internal thoracic artery.
Video-assisted thoracic surgery is useful during a typical lobectomy procedure, though challenging in complicated cases. We report successful video-assisted thoracic surgery lobectomy procedures performed after coronary artery bypass grafting in two lung cancer patients, with severe adhesion of lung parenchyma to grafts of the internal thoracic artery. We avoided dissection of the lung from the grafts and divided the lung parenchyma. No intrathoracic infection or local recurrence was found 5 years after surgery in either patient. The present 'non-dissection technique' is a feasible and safe optional procedure during a lobectomy after coronary artery bypass grafting using internal thoracic artery grafts.
Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. funaki@thoracic.med.osaka-u.ac.jp
Soichiro
S
Funaki
Masayoshi
M
Inoue
Norihisa
N
Shigemura
Meinoshin
M
Okumura
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D013896:Thoracic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D020775:Thoracic Surgery, Video-Assisted; D013997:Time Factors; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome