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Updated: Apr 23, 2026

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
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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.
Journal of Medical Case Reports
|April 22, 2026
Summary
Delayed complications after lung cancer surgery can be unusual. This case highlights the importance of monitoring patients long-term for potential respiratory and neurological issues post-pulmonary resection.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Neurology
Background:
- Surgical resection is a primary curative treatment for lung cancer.
- Delayed complications following lung cancer surgery are often overlooked.
Purpose of the Study:
- To report an unusual case of delayed complications after lung cancer surgery.
- To emphasize the spectrum of long-term sequelae after pulmonary resection.
Main Methods:
- Case report of a 67-year-old East Asian man.
- Detailed description of symptoms and diagnostic investigations.
- Exclusion of tumor recurrence and metabolic disorders.
Main Results:
- Patient developed a posture-dependent triad of palpitations, throat tightness, and nasal congestion months post-lobectomy.
- Observed paradoxical weight loss despite hyperphagia.
- Later developed neuropsychiatric disturbance linked to chronic respiratory insufficiency.
Conclusions:
- Highlights the diverse range of long-term effects after major pulmonary resection.
- Underscores the necessity of diligent, multidisciplinary follow-up for patients undergoing lung cancer surgery.

