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The Scenic Route: Lingular Metastasectomy Through the Right Chest.
Brooks V Udelsman1, Justin D Blasberg2,3
1Division of Thoracic Surgery, Department of Surgery, Keck School of Medicine of University of Southern California, Los Angeles California.
Annals of Thoracic Surgery Short Reports
|January 10, 2025
Summary
Resection of isolated lung metastasis via a right chest approach can improve survival. Robotic-assisted thoracoscopic surgery offers a minimally invasive option, even in patients with prior chest surgery.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Metastasectomy for isolated pulmonary metastasis improves survival in select patients.
- Minimally invasive wedge resection is the preferred surgical approach.
- A hostile ipsilateral chest can complicate surgical resection.
Observation:
- This report details the resection of an isolated metastasis in the lingula.
- The approach utilized was through the right chest and anterior mediastinum.
- A robotic-assisted thoracoscopic technique was employed.
Findings:
- Successful resection of an isolated lingular metastasis was achieved.
- The surgical approach navigated a previously operated left chest.
- Robotic-assisted thoracoscopy facilitated access and resection.
Implications:
- This case demonstrates the feasibility of robotic-assisted thoracoscopic resection in complex chest cases.
- The technique may be valuable for patients with prior thoracic surgery and contralateral metastases.
- Further research can explore the expanded application of this approach for pulmonary metastasectomy.
