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Updated: May 24, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Multiple segmentectomy for synchronous multiple small peripheral lung cancers: report of two cases
Takashi Ohtsuka1, Masayuki Okui, Takashi Nakayama
1Section of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Tokyo, Japan. t-oh@remus.dti.ne.jp
Summary
Segmentectomy offers a lung-sparing alternative for multiple peripheral non-small cell lung cancers. This approach may avoid pulmonary function impairment associated with traditional bilobectomy for synchronous lung tumors.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Synchronous, multiple peripheral non-small cell lung cancers present treatment challenges.
- Traditional surgical options like bilobectomy may lead to significant pulmonary function impairment.
Observation:
- This report details two patients with synchronous multiple peripheral non-small cell lung cancers.
- Both patients underwent simultaneous multiple segmentectomy, including two consecutive segments.
Findings:
- Simultaneous multiple segmentectomy is a feasible surgical approach for select patients.
- This technique represents a novel approach, being the first report of consecutive segmentectomy of two segments.
Implications:
- Multiple segmentectomy may preserve pulmonary function in patients with multiple lung cancers.
- This approach could offer a less invasive alternative to bilobectomy for synchronous peripheral lung tumors.
