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Case Reports
. 2016 Sep;4(18):344.
doi: 10.21037/atm.2016.09.15.

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Miao Zhang  1 , Heng Wang  1 , Wenbin Wu  1 , Dong Liu  1 , Min Li  1 , Zhengqun Hu  1 , Hui Zhang  1
Affiliations
Case Reports

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Miao Zhang et al. Ann Transl Med. 2016 Sep.

Abstract

Adequate surgical resection was required for patients with rib chondrosarcoma. A 61-year-old woman was presented with a palpable chest wall mass. Computed tomography (CT) of the chest revealed an isolated pulmonary nodule about 0.9 cm, and a giant rib tumor about 12 cm × 9 cm which penetrated through the 7th rib into thorax. CT reconstruction and simulated surgery was utilized for disease-free surgical margin (R0 resection), then a simultaneous en bloc resection of pulmonary nodule and rib tumor was performed along with chest wall reconstruction under local anesthesia and intravenous sedation without endotracheal intubation. And the recovery was encouragingly uneventful.

Keywords: Chondrosarcoma; non-intubated; uniport thoracoscopy.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Chest computed tomography (CT) scan indicated a giant chest wall malignancy which penetrated into thorax through the 7th rib, which was confirmed as chondrosarcoma.
Figure 2
Figure 2
A concurrent isolated pulmonary nodule located in left upper lobe was diagnosed as inflammatory pseudotumor.
Figure 3
Figure 3
Protective double composite mesh was fixed with the surrounding soft tissues and remaining rib edges for stability of the chest wall.
See this image and copyright information in PMC

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