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Related Experiment Video

Updated: Feb 7, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Thoracoscopic Right Basilar Segmentectomy After Right Upper Lobectomy.

Makoto Tada¹, Masahiro Miyajima¹, Taijiro Mishina¹

¹Department of Thoracic Surgery, Sapporo Medical University School of Medicine and Hospital, Sapporo, Japan.

The Annals of Thoracic Surgery

|August 6, 2018

Summary

Thoracoscopic right basilar segmentectomy is a viable option for limited resection in patients with prior lung surgery. This case study shows successful outcomes for lung cancer after previous tuberculosis treatment.

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Area of Science:

Thoracic surgery
Surgical oncology
Pulmonology

Background:

A 76-year-old male patient with a history of right upper lobectomy for tuberculosis 50 years prior presented with a new diagnosis.
The patient was diagnosed with stage IB squamous cell carcinoma in the right lower lobe.

Observation:

The patient underwent a thoracoscopic right basilar segmentectomy for limited resection.
The surgical procedure was performed due to the patient's prior extensive lung surgery.

Findings:

The postoperative recovery was uneventful, with no immediate complications.
Clinical follow-up and a 1-year chest CT scan revealed no evidence of tumor recurrence.
Imaging confirmed adequate lung volume in the remaining lobes without signs of emphysema.

Implications:

Thoracoscopic segmentectomy can be safely performed in patients with complex surgical histories.
This approach offers a lung-sparing option for early-stage lung cancer in previously operated lungs.
Preservation of lung function is achievable, preventing further respiratory compromise.