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Updated: Aug 17, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Perioperative management of extended surgery for advanced lung cancer]
Takeshi Nagayasu1, Tsutomu Tagawa, Akihiro Nakamura
1Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Abstract:
Extended surgery for advanced non-small cell lung cancer includes combined resection of T3 or T4 organs and extended lymph node dissection in N2 or N3 cases. It is well known that the incidence of complications with extended surgery is higher in comparison with standard surgery due to the greater extent of invasiveness of the former. The management of extended surgery patients requires an understanding of the characteristic complications and their frequency for each type of surgery. Perioperative management including an accurate preoperative diagnosis and the prevention of postoperative complications affects prognosis because mortality rate is higher in patients in whom more complications occur.
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