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Video-assisted thoracoscopic segmentectomy with combined chest wall resection: A case report
Yoichi Ohtaki1, Toshiki Yajima2,3, Kai Obayashi1
1Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Journal of Cardiothoracic Surgery
|October 10, 2022
Summary
Video-assisted thoracoscopic surgery enables minimally invasive resection of lung cancer invading the chest wall. This technique reduces surgical stress for patients undergoing complex procedures like rib resection.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Lung cancer resection with chest wall involvement is traditionally invasive.
- Minimally invasive approaches are sought to reduce surgical morbidity.
Observation:
- A case of pulmonary adenocarcinoma with chest wall invasion was treated.
- Video-assisted thoracoscopic surgery (VATS) was employed for segmentectomy.
- En bloc resection of the 2nd to 4th ribs was performed concurrently.
Findings:
- The VATS approach, including a posterior paravertebral incision, facilitated lung segmentectomy and chest wall resection.
- Reduced lung parenchymal resection and VATS technique minimized surgical stress.
Implications:
- This thoracoscopic approach is feasible for tumors invading the chest wall.
- It offers a less invasive option for complex lung cancer resections involving the chest wall.
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