title: [Lung Segmentectomy Using Video-assisted Thoracic Surgery for Lung Cancer in a Patient with Situs Inversus Totalis].
abstract: The case was 83-year-old man who had complete situs inversus, and was pointed out to have peripheral adenocarcinoma with the size of 1.8 cm at the left upper lobe( S3). Because of severe emphysema and other multiple comorbidities, left S3 segmentectomy with hilar lymph node sampling was performed using video-assisted thoracic surgery (VATS). Preoperatively, the simulation of operation was performed using the 3 dimension computed tomography images of pulmonary arteriovenous and bronchus (3DCTAB). Postoperative course was uneventful. 3DCTAB was thought to be useful in understanding the anatomical location of pulmonary arteriovenous and bronchus directly, and in performing segmentectomy in the case of situs inversus like this.
authors.affiliation: Department of Thoracic Surgery, Nishigunma National Hospital, Shibukawa, Japan.
authors.forename: Seiichi
authors.initials: S
authors.lastname: Kakegawa
authors.forename: Osamu
authors.initials: O
authors.lastname: Kawashima
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Tomizawa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sugano
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000369:Aged, 80 and over; D018267:Carcinoma, Acinar Cell / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic; D012857:Situs Inversus / Q000150:complications* / Q000000981:diagnostic imaging*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome