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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Pulmonary torsion following right upper lobectomy
Shinji Kanemitsu1, Keizo Tanaka, Hitoshi Suzuki
1Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
Summary
Postoperative lobar torsion after lung surgery requires prompt diagnosis. Early rethoracotomy is crucial for successful treatment and patient recovery.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Complications
Background:
- Lobar torsion is a rare but serious complication following lung resection surgery.
- Early identification and management are critical for preventing further morbidity.
Observation:
- A 51-year-old woman developed right middle lobar torsion post-right upper lobectomy.
- Diagnosis was confirmed through chest X-ray and bronchofiberscopy during postoperative observation.
Findings:
- Emergency rethoracotomy was performed, leading to a successful middle lobectomy.
- The patient experienced an uneventful recovery and was discharged on postoperative day 17.
Implications:
- Emphasizes the importance of vigilant postoperative monitoring using chest radiography and bronchofiberscopy for diagnosing lobar torsion.
- Highlights the necessity of immediate rethoracotomy in cases of lobar torsion following lobectomy to ensure optimal patient outcomes.
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