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Case Reports
. 2016 Sep;8(9):E935-E937.
doi: 10.21037/jtd.2016.08.24.

Hybrid video-assisted thoracoscopic surgery lobectomy and en-bloc chest wall resection for non-small cell lung cancer

Edward J Caruana  1 , Pierogiorgio Solli  1 , Aman S Coonar  1
Affiliations
Case Reports

Hybrid video-assisted thoracoscopic surgery lobectomy and en-bloc chest wall resection for non-small cell lung cancer

Edward J Caruana et al. J Thorac Dis. 2016 Sep.

Abstract

Chest wall invasion is seen in 5% to 8% of patients presenting with lung cancer. We report a case of complete resection of a 14 cm × 9 cm pT3N0M0 squamous cell carcinoma arising from the right lower lobe and invading the lower chest wall posteriorly, in a 75 years old male, via a hybrid thoracoscopic [video-assisted thoracoscopic surgery (VATS)] approach. Following conventional VATS lobectomy, a targeted 10 cm incision was performed to allow wide resection of the 7th to 10th ribs and 6th to 9th transverse processes, with the defect being subsequently reconstructed with a composite rigid prosthesis. The patient made an uneventful recovery, and was discharged on the 3rd postoperative day; with later adjuvant chemotherapy. Thoracoscopic surgery is not currently widely adopted in patients with chest wall invasion, likely due to the technical difficulties. We briefly review the various techniques described in the current literature, whilst emphasising a role for such an approach in highly selected cases.

Keywords: Video-assisted thoracoscopic surgery (VATS); chest wall; lung cancer; minimally invasive surgery; thoracoscopy.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Computed tomography. (A) Pre-operative (B) post-operative computed tomography.
Figure 2
Figure 2
Post-operative scars (A) lateral (B) posterior.
See this image and copyright information in PMC

References

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