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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
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Video-assisted thoracic surgery left upper lobectomy with systematic lymphadenectomy
Xue Pan1, Yan Zhang1, Xiangnan Li1
11 The Nursing College of Zhengzhou University, Zhengzhou 450052, China ; 2 Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Journal of Thoracic Disease
|January 22, 2016
Summary
A small lung adenocarcinoma was successfully removed using minimally invasive video-assisted thoracic surgery (VATS). This early-stage lung cancer treatment resulted in a complete recovery for the patient with no lymph node metastasis.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Oncology
Background:
- Computed tomography (CT) screening identified a small peripheral lung mass in an asymptomatic 62-year-old woman.
- Transpercutaneous lung biopsy confirmed the mass as adenocarcinoma, prompting further investigation for surgical candidacy.
Purpose of the Study:
- To report the successful surgical management of a incidentally discovered, early-stage lung adenocarcinoma.
- To highlight the efficacy of video-assisted thoracic surgery (VATS) for peripheral lung cancer resection.
Main Methods:
- A left upper lobectomy was performed using VATS.
- Systematic lymphadenectomy was conducted concurrently with the lobectomy.
- Postoperative pathological examination assessed tumor characteristics and lymph node status.
Main Results:
- The resected tumor was confirmed as adenocarcinoma, staged as T1aN0M0 (Stage IA).
- No lymph node metastasis was detected in any examined station.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day 10.
Conclusions:
- VATS is a safe and effective minimally invasive approach for early-stage peripheral lung adenocarcinoma.
- Early detection and surgical intervention lead to favorable outcomes in resectable lung cancer.

