VATS Right Upper Lobe Anterior Segmentectomy in Post Left Pneumonectomy: Technique.
10.3779/j.issn.1009-3419.2020.102.26
- Author:
Balasubramanian VENKITARAMAN
1
;
Jichen QU
2
;
Lei JIANG
2
Author Information
1. Department of Surgical Oncology, Thoracic Oncology Division, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
2. Department of Thoracic Surgery, Shanghai Pulmonary Disease Hospital, Tongii University School of Medicine, Shanghai 200433, China.
- Publication Type:Journal Article
- Keywords:
Lung cancer surgery;
Post pneumonectomy surgery;
Resurgery in pneumonectomy;
Video-assisted thoracoscopic surgery
- From:
Chinese Journal of Lung Cancer
2020;23(8):730-732
- CountryChina
- Language:English
-
Abstract:
Lung resection following pneumonectomy for recurrent lung cancer is a challenging scenario. Peri-operative airway management and choice of surgical procedure are issues to be addressed by both the anesthesiologists and thoracic surgeons. We hereby report a case of anterior segmentectomy of the right upper for recurrent lung cancer, in a patient who had previously underwent pneumonectomy for primary lung cancer one year earlier. A modified conventional tracheal intubation and unique surgical techniques were applied for video-assisted thoracoscopic surgery (VATS) anterior segmentectomy of the right upper lobe in a patient with a notable mediastinal shift (following contralateral pneumonectomy), resulting in a good recovery and clinical outcome. The clinical experience is summarized in detail in this article.