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Updated: Feb 15, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Video-assisted thoracoscopic right upper sleeve lobectomy for fixated interlobar lymph node
Akif Turna1, Seyfi Alper Toker2
1Department of Thoracic Surgery, Istanbul University Cerrahpasa School of Medicine, Fatih, Istanbul, Turkey.
This study details a successful video-assisted thoracoscopic right upper lobe sleeve lobectomy for squamous cell carcinoma. The minimally invasive procedure resulted in an uneventful recovery and positive long-term outcome for the patient.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Squamous cell carcinoma (SCC) staging is crucial for treatment planning.
- Minimally invasive thoracic surgery offers potential benefits for lung cancer resection.
- Interlobar lymph node involvement can complicate lung cancer surgery.
Observation:
- A 59-year-old male patient presented with a fixated interlobar lymph node.
- The patient underwent a video-assisted thoracoscopic right upper lobe sleeve lobectomy.
- Pathological examination revealed squamous cell carcinoma, stage T3N1M0.
Findings:
- The bronchial anastomosis was successfully performed using a running suture with 3-0 prolene.
- The postoperative recovery was uneventful.
- The patient remained disease-free and well for 18 months post-surgery.
Implications:
- Video-assisted thoracoscopic surgery (VATS) sleeve lobectomy is a viable option for select lung cancer cases.
- Minimally invasive techniques can achieve favorable oncological and functional outcomes.
- Early and accurate pathological staging is essential for successful surgical management of lung cancer.
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