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Updated: May 21, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Total vertebrectomy for non-small cell lung cancer
Taiji Kuwata1, Hidetaka Uramoto, Hajime Ohtomo
1Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Case Reports in Oncology
|June 20, 2012
Summary
This case study details a successful surgical resection of a left lung tumor invading the thoracic spine. The combined approach involved arterial embolization, lung lobectomy, and vertebral resection for stage IIIA pleomorphic carcinoma.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonology
Background:
- Lung tumors invading the thoracic spine are rare and challenging to treat.
- Surgical intervention requires a multidisciplinary approach involving thoracic and orthopedic surgeons.
Observation:
- A 35-year-old male presented with left back pain and a left upper lung tumor invading the third thoracic vertebra.
- Chest CT confirmed no nodal or distant metastasis.
Findings:
- The patient underwent left upper lobectomy with lymph node dissection (ND2a-2) following arterial embolization to control bleeding.
- Orthopedic surgeons performed an en bloc resection of the involved third thoracic vertebra and adjacent ribs.
- Histological examination revealed pleomorphic carcinoma, staged as pT4N0M0 (Stage IIIA).
Implications:
- This case highlights the feasibility of a combined surgical strategy for locally advanced lung cancer with vertebral invasion.
- Preoperative embolization can effectively reduce intraoperative bleeding in complex thoracic tumor resections.
- Multidisciplinary management is crucial for achieving complete resection and favorable outcomes in such rare oncological emergencies.
