Related Experiment Video
Updated: Jun 26, 2026
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Video-assisted thoracoscopic resection for intralobar pulmonary sequestration.
Naoya Yamasaki1, Tsutomu Tagawa, Akihiro Nakamura
1Division of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. ynaoya@net.nagasaki-u.ac.jp
General Thoracic and Cardiovascular Surgery
|January 23, 2009
Summary
Video-assisted thoracoscopic surgery effectively treated pulmonary sequestration in an obese patient. This minimally invasive approach is beneficial for complex cases, offering a less invasive option for lung tissue removal.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Medical Imaging
Background:
- Intralobar pulmonary sequestration is a congenital lung malformation.
- Obesity can present surgical challenges, particularly in thoracic procedures.
- Accurate pre-operative imaging is crucial for surgical planning.
Observation:
- A case of intralobar pulmonary sequestration in a severely obese young man (120 kg, BMI 42) is presented.
- Aberrant arteries originating from the descending thoracic aorta were identified using 3D chest computed tomography.
- The surgical team performed a left lower lobectomy using video-assisted thoracoscopy.
Findings:
- Two aberrant arteries were successfully transected with a vascular stapler.
- The left lower lobectomy was completed thoracoscopically.
- The procedure demonstrated the feasibility of minimally invasive treatment for pulmonary sequestration in obese patients.
Implications:
- Video-assisted thoracoscopic lobectomy is a viable and minimally invasive option for treating pulmonary sequestration.
- This technique is particularly advantageous for obese patients, potentially reducing surgical morbidity.
- Advanced imaging like 3D CT aids in precise identification of complex vascular anatomy in these cases.
Related Concept Videos
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...