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Left lower lobectomy and systematic lymph node dissection by complete video-assisted thoracic surgery.

Jian-Lin Shi1, Li-Hong Jiang1, Ding-Biao Li1

  • 11 Department of Thoracic Surgery, Yan'an Affiliated Hospital of Kunming Medical University, Kunming 650051, China ; 2 Department of Cardiothoracic Surgery, the First People's Hospital of Yunnan Province, Kunming 650032, China.

Journal of Thoracic Disease
|January 22, 2016
PubMed
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A minimally invasive video-assisted thoracic surgery (VATS) successfully removed a lung adenocarcinoma in a 50-year-old female. Pathological results confirmed no lymph node metastasis, indicating a favorable outcome.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Surgical Oncology

Background:

  • Lung cancer remains a significant global health concern.
  • Early detection and minimally invasive surgical approaches are crucial for improving patient outcomes.
  • Adenocarcinoma is the most common type of non-small cell lung cancer.

Purpose of the Study:

  • To report a case of video-assisted thoracic surgery (VATS) for a left lower lobe lung mass.
  • To evaluate the efficacy and safety of VATS in treating early-stage lung adenocarcinoma.
  • To present the perioperative and pathological findings of a VATS left lower lobectomy.

Main Methods:

  • Preoperative diagnosis using chest computed tomography (CT) identified a left basilar lung mass.
  • Video-assisted thoracic surgery (VATS) left lower lobectomy was performed.
Keywords:
Lobectomylung cancermediastinal lymph node dissectionvideo-assisted thoracic surgery (VATS)

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  • Perioperative data including operation time and blood loss were recorded.

    • Main Results:

    • A 2.1 cm × 1.7 cm mass in the left lower lobe was successfully resected via VATS.
    • The surgery lasted 60 minutes with minimal blood loss (15 mL).
    • Pathological examination confirmed adenocarcinoma with no lymph node metastasis. The patient was discharged on postoperative day 6 without complications.

    Conclusions:

    • Video-assisted thoracic surgery (VATS) is a safe and effective approach for resecting early-stage lung adenocarcinoma.
    • Minimally invasive techniques like VATS can lead to shorter recovery times and fewer complications.
    • This case highlights the successful management of a small lung adenocarcinoma using VATS with favorable oncological results.