Journal of Cardiothoracic Surgery (Oct 2022)

Video-assisted thoracoscopic segmentectomy with combined chest wall resection: A case report

  • Yoichi Ohtaki,
  • Toshiki Yajima,
  • Kai Obayashi,
  • Seshiru Nakazawa,
  • Hayato Ikota,
  • Ken Shirabe

DOI
https://doi.org/10.1186/s13019-022-01996-3
Journal volume & issue
Vol. 17, no. 1
pp. 1 – 4

Abstract

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Abstract Background Resection of lung cancer with chest wall involvement is an invasive procedure. Case presentation We report a case of pulmonary adenocarcinoma with chest wall involvement that was resected through video-assisted thoracoscopic segmentectomy and combined en bloc resection of the chest wall (2nd to 4th ribs). Surgical stress was decreased by reducing the extent of lung parenchymal resection and applying a video-assisted technique with an additional posterior paravertebral incision. Conclusion A thoracoscopic surgical approach involving incisions in areas requiring resection of the proximal, lateral, and posterior sides of the involved ribs can be applied to tumors invading the chest wall.

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