Video-assisted thoracic surgery (VATS) left upper sleeve lobectomy with partial pulmonary artery resection

Abstract

Compare with pneumonectomy, sleeve lobectomy has advantage in long-term outcomes and cost-effective measures. As a result, sleeve lobectomy procedure is considered and practiced as the standard therapy for central lung cancers which are anatomically suitable regardless of lung function. In some cases, the lesion invades hilar and mediastinal vessels, the surgeon may faces more technically challenging in vascular reconstruction procedures together with the sleeve lobectomy procedure. The advent of minimally invasive surgery brings numerous advantages, such as shorter hospital stay, alleviated post-operative pain, faster recover and so on, to the patient. In return, it did demands all the surgeons to master the VATS surgery operative skill to meet the patient's expectation. Although mirror the pathway of open sleeve surgery, the video-assisted bronchial sleeve lobectomy (VABSL) brings numerous obstacles for the surgeon: One needs to accommodate transmission from direct-view to locally 2D screen, from multi-angle multi-direction operation field to one directional operation field, before he can adapt to the VATS operative skill. In addition, VATS surgery did have its' learning curve for the surgeon and the assistant. Here we present a video of a patient underwent sleeve lobectomy with partial pulmonary artery resection for communicating operative techniques.

Keywords: Video-assisted thoracic surgery (VATS); case; pulmonary artery resection; sleeve lobectomy; video.

Video 1

VATS left upper sleeve lobectomy with partial pulmonary artery resection.

Figure 1

Computed tomography (CT) shows a mass in the left hilum.

Figure 2

Bronchoscope examination shows a neoplasm in the orifice of Left Upper Lobe Bronchus.