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Completion lobectomy under 4K three-dimensional endoscopy for surgical margin recurrence after segmentectomy.

Takeshi Mimura1, Shintaro Haraguchi1, Masayuki Ishida1

  • 1Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.

Asian Journal of Endoscopic Surgery
|May 29, 2024
PubMed
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Completion lobectomy (CL) can successfully treat lung cancer recurrence after segmentectomy. Advanced 4K three-dimensional (3D) endoscopy ensures safe and effective outcomes for this challenging procedure.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Segmentectomy is increasingly adopted for early-stage lung cancer.
  • Recurrence at surgical margins can necessitate further intervention.
  • Completion lobectomy (CL) is a complex procedure following prior segmentectomy.

Observation:

  • A 77-year-old male patient with recurrent lung cancer after S3 segmentectomy was treated.
  • The recurrence was located at the surgical margin one year post-segmentectomy.
  • Completion lobectomy was performed using 4K three-dimensional (3D) endoscopy.

Findings:

  • The completion lobectomy was performed successfully using 4K3D endoscopy.
  • The procedure demonstrated the feasibility of 4K3D endoscopy for complex thoracic surgeries.
Keywords:
4K three‐dimensional endoscopycompletion lobectomysegmentectomy

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  • This case highlights the utility of advanced endoscopic technology in managing post-segmentectomy recurrence.

    • Implications:

    • 4K3D endoscopy offers a safe and reliable approach for completion lobectomy after segmentectomy.
    • Meticulous preoperative planning and precise surgical technique are crucial for successful CL.
    • This approach may improve outcomes for patients experiencing recurrence after lung cancer segmentectomy.