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Updated: Apr 23, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Late-onset sequelae after right middle and lower lobectomy: a case report
Shasha Li1, Wenqi Chen2, Jiandong Zha2
1Clinical Oncology Center, The University of Hong Kong Shenzhen Hospital, Shenzhen, China. liss7@hku-szh.org.
Background:
Surgical resection remains a cornerstone of curative treatment in lung cancer, but delayed complications are under-recognised.
Case Presentation:
We describe a 67-year-old East Asian man who developed an unusual sequence of symptoms months after right middle and lower lobectomy: a posture-dependent triad of palpitations, throat tightness, and nasal congestion; paradoxical weight loss despite hyperphagia; and later neuropsychiatric disturbance associated with chronic respiratory insufficiency. Investigations excluded tumour recurrence and metabolic disorders.
Conclusions:
These observations emphasise the spectrum of long-term sequelae following major pulmonary resection and the importance of vigilant multidisciplinary follow-up.

