Video-assisted Thoracoscopic Segmentectomy of Right Lung Cancer with Extracorporeal Lung Assist After Left Completion Pneumonectomy

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  • Tada Makoto
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine
  • Takahashi Yuki
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine
  • Maki Ryunosuke
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine
  • Mishina Taijiro
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine
  • Miyajima Masahiro
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine
  • Watanabe Atsushi
    Department of Thoracic Surgery, Sapporo Medical University, School of Medicine

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Other Title
  • 左肺全摘後，体外式肺補助下に胸腔鏡下右肺区域切除を行った1例

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Abstract

<p>Background. Few reports have described the outcomes of three-time lung resection for metachronous multiple lung cancers or anatomical lung resection after pneumonectomy. Case. A 66-year-old man with a nodule in the left lung was treated with left upper lobectomy at 50 years of age and left lower lobectomy at 61 years of age. In both cases, the pathological diagnosis was minimally invasive adenocarcinoma, stage IA1. He visited our hospital for the further examination of an abnormal chest shadow noted at a medical checkup. The preoperative residual pulmonary function was as follows: VC 2.32 l, %VC 70.7%, FEV1.0 1.59 l, and FEV1.0% 70.1%. Although there was no definitive diagnosis, computed tomography revealed findings suggestive of primary lung cancer. He underwent superior segmentectomy (segment 6) of the right lower lobe with extracorporeal lung assist (ECLA). The postoperative course was uneventful. He was discharged home 14 days after the surgery. The pathological diagnosis was still adenocarcinoma in situ. Conclusion. Using ECLA, we were able to perform thoracoscopic segmentectomy for a metachronous multiple lung cancers (metachronous triple cancers) safely after pneumonectomy.</p>

Journal

  • Haigan

    Haigan 58 (4), 298-302, 2018-08-20

    The Japan Lung Cancer Society

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