Related Experiment Video
Updated: May 12, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Surgical approach for lung cancer larger than 10 cm]
Bo Wei1, Fu-sheng Jiang, Jian-rui Wang
1Department of Thoracic Surgery, Capital Medical University, Beijing, China. greatweibo@yahoo.com.cn
Objective:
To discuss the surgical techniques for lung cancer larger than 10 cm.
Methods:
Via a modified anterolateral thoracotomy entered through the 4th or 5th intercostal space, intrapericardial access to pulmonary vessels was obtained for pneumonectomy or extended pneumonectomy in all patients, after excluding the feasibility of lobectomy.
Results:
From March 2009 to October 2011, 13 consecutive patients with lung cancer larger than 10 cm, were admitted to surgical resection via this approach for intrapericardial pneumonectomy/extending pneumonectomy. The whole processes were smooth and without any major morbidity.
Conclusions:
The main approach for lung cancer larger than 10 cm is pneumonectomy. The key to surgical success is intrapericardial controlling of the hilum vascular. The modified anterolateral thoracotomy may facilitate this procedure.
