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Updated: Aug 26, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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.
Background:
Resection of lung cancer with chest wall involvement is an invasive procedure.
Case Presentation:
We report a case of pulmonary adenocarcinoma with chest wall involvement that was resected through video-assisted thoracoscopic segmentectomy and combined en bloc resection of the chest wall (2nd to 4th ribs). Surgical stress was decreased by reducing the extent of lung parenchymal resection and applying a video-assisted technique with an additional posterior paravertebral incision.
Conclusion:
A thoracoscopic surgical approach involving incisions in areas requiring resection of the proximal, lateral, and posterior sides of the involved ribs can be applied to tumors invading the chest wall.
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