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Case Reports
. 2014 Sep;6(9):1351-3.
doi: 10.3978/j.issn.2072-1439.2014.06.47.

Video-assisted thoracoscopic sleeve lobectomy

Xiangnan Li  1 , Xue Pan  1 , Chunyang Zhang  1 , Dengyan Zhu  1 , Jia Zhao  1
Affiliations
Case Reports

Video-assisted thoracoscopic sleeve lobectomy

Xiangnan Li et al. J Thorac Dis. 2014 Sep.

Abstract

Although minimally invasive video-assisted thoracic surgery (VATS) lobectomy has proved to be equal and in some aspects superior to open lobectomy in T1 and T2 lung cancers, video-assisted thoracic sleeve lobectomy is not widely practiced. Reconstruction is one of the most problematic techniques in thoracic surgery. We present a case of a patient who underwent VATS right-sided sleeve lobectomy due to right lung cancer. Based on the preoperative examinations, our VATS technique consisted of four incisions: three ports and a 3-4 cm long utility incision without any kind of rib spreading. Total surgery time was 180 min and blood loss was 100 mL. The chest tube was removed on the 5th post-operative day and the patient was discharged home on the 10th postoperative day. The final histopathological examination confirmed squamous cell lung cancer (T2aN0M0 stage IB). In the authors' opinion VATS right-sided sleeve lobectomy should be performed by a surgeon with adequate experience with this approach. Despite limited indications for VATS right-sided sleeve lobectomy, if the patients fulfill the sleeve lobectomy inclusion criteria in general, they may gain from all the advantages of minimally invasive techniques.

Keywords: Video-assisted thoracic surgery (VATS); sleeve lobectomy.

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Figure 1
Figure 1
Video-assisted thoracoscopic upper right bronchial sleeve lobectomy (2). Available online: http://www.asvide.com/articles/281
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References

    1. Predina JD, Kunkala M, Aliperti LA, et al. Sleeve lobectomy: current indications and future directions. Ann Thorac Cardiovasc Surg 2010;16:310-8 - PubMed
    1. Li X, Pan X, Zhang C, et al. Video-assisted thoracoscopic upper right bronchial sleeve lobectomy. Asvide 2014;1:268. Available online: http://www.asvide.com/articles/281
    1. Jiao W, Zhao Y, Huang T, et al. Two-port approach for fully thoracoscopic right upper lobe sleeve lobectomy. J Cardiothorac Surg 2013;8:99. - PMC - PubMed
    1. Park AE, Mastrangelo MJ, Jr, Gandsas A, et al. Laparoscopic dissecting instruments. Semin Laparosc Surg 2001;8:42-52 - PubMed
    1. Santambrogio L, Cioffi U, De Simone M, et al. Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus: a case report. Chest 2002;121:635-6 - PubMed

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