title: Middle lobe preserving right lower lobectomy with a serratus anterior hammock flap in a patient with previous right upper lobectomy.
abstract: Increasingly, many patients are diagnosed with a second lung cancer after curative thoracotomy. It is very difficult to manage such patients surgically due to the significant loss of pulmonary function. Especially on the right side, avoiding a completion pneumonectomy may contribute to reducing postoperative functional loss and surgical complications as well as the morbidity of post-pneumonectomy syndrome. A technique is needed to prevent torsion of the preserved middle lobe. Following recently published cases utilizing a latissimus dorsi muscle flap, in this case report, we describe the use of the serratus anterior muscle flap as an alternative.
authors.affiliation: Department of Thoracic Surgery, Miyagi Cancer Centre, Natori, Japan jabe@kmph.mfnet.ne.jp.
authors.forename: Jiro
authors.initials: J
authors.lastname: Abe
authors.affiliation: Department of Thoracic Surgery, Miyagi Cancer Centre, Natori, Japan.
authors.forename: Satomi
authors.initials: S
authors.lastname: Takahashi
authors.affiliation: Department of Thoracic Surgery, Miyagi Cancer Centre, Natori, Japan Department of Thoracic Surgery, Fukujyuji Hospital, Kiyose, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Nakagawa
authors.affiliation: Department of Thoracic Surgery, Miyagi Cancer Centre, Natori, Japan Department of Thoracic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Hisakatsu
authors.initials: H
authors.lastname: Tsukidate
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D064131:Back Muscles / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000473:pathology / Q000601:surgery*; D059351:Organ Sparing Treatments; D011013:Pneumonectomy; D012086:Reoperation; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Completion pneumonectomy; Lobar torsion; Lung cancer surgery; Serratus anterior muscle