Uniportal Video-Assisted Left Upper Segmentectomy With a Minimally Invasive Chest Wall Resection Technique for...

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Pulmonary Medicine

Background:

• Apical lung cancer necessitates specialized surgical techniques due to proximity to vital organs.
• Conventional open chest surgery for lung cancer can result in significant respiratory function loss.
• Minimally invasive approaches are sought to improve outcomes for patients with compromised pulmonary function.

Purpose of the Study:

• To describe a novel surgical technique for apical lung cancer in a patient with reduced pulmonary function.
• To evaluate the feasibility of combining uniportal video-assisted thoracic surgery (VATS) with a localized incision for complex lung resections.
• To present a case demonstrating an alternative to traditional open thoracotomy for specific lung cancer cases.

Main Methods:

• A left upper division segmentectomy combined with resection of the first and third ribs was performed.
• The surgical approach utilized a combination of uniportal VATS and a localized high posterolateral incision.
• This technique was applied to a patient with pre-existing reduced pulmonary function.

Main Results:

• The described surgical technique was successfully performed on the patient.
• The combined uniportal VATS and localized incision approach facilitated the complex resection.
• The procedure was completed without immediate major complications, preserving respiratory function.

Conclusions:

• The combined uniportal VATS and localized incision technique represents a viable and less invasive surgical option for apical lung cancer in select patients.
• This approach may help mitigate the respiratory function loss associated with traditional open surgery.
• Further studies are warranted to establish the broader applicability and long-term outcomes of this technique.