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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Concomitant lung cancer resection and lung volume reduction surgery
Cliff K Choong1, Balakrishnan Mahesh, G Alexander Patterson
1Papworth Hospital NHS Foundation Trust, Cambridge, UK. cliffchoong@hotmail.com
Thoracic Surgery Clinics
|August 11, 2009
Summary
Highly selected patients with severe emphysema and early lung cancer can undergo combined surgery. This approach aims for cancer resection with improved, not reduced, pulmonary function, making previously unsuitable candidates operable.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Surgical Oncology
Background:
- Concomitant lung cancer and severe emphysema present a surgical challenge.
- Traditional criteria often deem these patients inoperable due to pulmonary limitations.
Purpose of the Study:
- To evaluate the selection process and intraoperative strategies for combined lung cancer resection and lung volume reduction surgery (LVRS).
- To determine if combined surgery can improve pulmonary function in selected patients.
Main Methods:
- Rigorous patient selection based on strict criteria for both LVRS and cancer surgery.
- Application of various intraoperative strategies tailored to tumor, emphysema severity, and surgeon expertise.
Main Results:
- Lung volume reduction surgery (LVRS) in well-selected patients with severe emphysema improves postoperative symptoms and lung function.
- Combined resection allows selected patients to undergo cancer surgery with potential pulmonary function improvement.
Conclusions:
- Careful patient selection and tailored surgical techniques enable combined resection of lung cancer and severe emphysema.
- This combined approach offers a viable option for patients previously considered unsuitable for surgery, improving outcomes.
