Related Experiment Video
Updated: Oct 16, 2025
04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
395
How to optimize your set-up for a VATS right upper lobectomy.
Abdullah M AlShammari1, Ross D Hoffman1, Jose Alvarez Gallesio1
1Division of Thoracic Surgery, Royal Brompton Hospital, The Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|October 21, 2021
Summary
This study details a video-assisted thoracoscopic surgery (VATS) for early-stage lung adenocarcinoma. The procedure involved a right upper lobe resection using the Copenhagen approach with successful lymph node sampling and chest drain placement.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonology
Background:
- Lung adenocarcinoma is a common primary lung cancer.
- Early-stage diagnosis allows for potentially curative surgical intervention.
- Video-assisted thoracoscopic surgery (VATS) offers a minimally invasive approach for lung resections.
Observation:
- A 77-year-old female patient presented with biopsy-proven primary lung adenocarcinoma in the right upper lobe.
- Multiple ground-glass opacities were noted, with the largest measuring 21 mm.
- The patient underwent a 3-port right-sided VATS utilizing the Copenhagen approach.
Findings:
- The VATS procedure successfully resected the right upper lobe tumor.
- Extensive lymph node sampling (stations 2, 4, 7, 8, 9, 10, 11) was performed.
- Post-resection testing confirmed no parenchymal or bronchial stump air leak.
Implications:
- This case demonstrates the feasibility and safety of VATS for early-stage lung adenocarcinoma.
- The Copenhagen approach facilitates thorough dissection and lymphadenectomy.
- Minimally invasive techniques in lung cancer surgery can lead to favorable outcomes.
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