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Related Experiment Video

Updated: Apr 23, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Video-assisted thoracoscopic sleeve lobectomy.

Xiangnan Li1, Xue Pan1, Chunyang Zhang1

  • 11 Department of Thoracic Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China ; 2 Nursing School of Zhengzhou University, Zhengzhou 450052, China.

Journal of Thoracic Disease
|October 3, 2014
PubMed
Summary

Video-assisted thoracic surgery (VATS) sleeve lobectomy is a viable minimally invasive option for select lung cancer patients. This technique offers advantages over open surgery when performed by experienced surgeons.

Keywords:
Video-assisted thoracic surgery (VATS)sleeve lobectomy

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Minimally invasive video-assisted thoracic surgery (VATS) lobectomy is established for early-stage lung cancers.
  • Sleeve lobectomy, a complex reconstructive procedure, is less commonly performed using VATS.
  • Reconstruction techniques in thoracic surgery present significant challenges.

Observation:

  • A case of successful VATS right-sided sleeve lobectomy for right lung cancer is presented.
  • The VATS technique involved three ports and a small utility incision, avoiding rib spreading.
  • The procedure was completed in 180 minutes with 100 mL blood loss.

Findings:

  • The patient was discharged on postoperative day 10 with chest tube removal on day 5.
  • Histopathology confirmed squamous cell lung cancer, stage IB (T2aN0M0).
  • This demonstrates the feasibility of VATS sleeve lobectomy in a clinical setting.

Implications:

  • VATS right-sided sleeve lobectomy can be effectively performed by experienced thoracic surgeons.
  • Patients meeting general sleeve lobectomy criteria may benefit from VATS advantages.
  • Further adoption of VATS sleeve lobectomy could expand minimally invasive options for lung cancer treatment.