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Related Experiment Video

Updated: May 7, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
11:17

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Video-assisted thoracic surgery right upper lobectomy and lymph node dissection.

Guang-Jian Zhang1, Yong Zhang, Xiao-Peng Wen

  • 1Department of Thoracic Surgery, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.

Journal of Thoracic Disease
|September 17, 2013
PubMed
Summary
This summary is machine-generated.

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This study details a successful video-assisted thoracoscopic surgery (VATS) for early-stage lung adenocarcinoma in a smoking patient. The minimally invasive procedure achieved complete tumor resection and lymph node removal, confirming favorable pathology.

Area of Science:

  • Oncology
  • Thoracic Surgery
  • Pulmonology

Background:

  • Lung adenocarcinoma is a leading cause of cancer-related mortality worldwide, particularly in smokers.
  • Early detection and surgical intervention are crucial for improving patient outcomes.
  • Minimally invasive surgical techniques are increasingly preferred for early-stage lung cancer.

Observation:

  • A 55-year-old male smoker presented with a right upper lobe lesion.
  • Computed tomographic (CT)-guided biopsy confirmed lung adenocarcinoma.
  • Preoperative diagnosis indicated stage I primary lung adenocarcinoma.

Findings:

  • A standard three-port video-assisted thoracoscopy surgery (VATS) was performed for right upper lobe resection.
  • Systematic lymph node dissection (stations 2, 4, and 7) was conducted using a Harmonic scalpel.
Keywords:
Video-assisted thoracoscopy surgery (VATS)three access thoracoscopy

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  • Postoperative pathological analysis revealed T2aN0M0 adenocarcinoma, indicating no lymph node metastasis.

    • Implications:

    • Video-assisted thoracoscopic surgery (VATS) is a viable and effective approach for resecting early-stage lung adenocarcinoma.
    • Minimally invasive techniques can achieve oncologically sound resection with adequate lymph node sampling.
    • This case highlights the importance of early diagnosis and surgical management in improving prognosis for lung cancer patients, especially smokers.