パンコースト肺癌に対するユニポータル胸腔鏡下肺部分切除術と低侵襲胸壁切除術の併用

Owing to the proximity of vital organs, apical lung cancer requires a surgical approach distinct from that used for conventional radical lung cancer surgery. Various techniques have been developed to address this challenge. The open chest approach involves extensive muscle dissection, often leading to an unexpected degree of respiratory function loss. This report outlines a surgical technique performed on a patient with reduced pulmonary function who underwent left upper division segmentectomy combined with resection of the first and third ribs. The procedure was conducted by a combination of uniportal video-assisted thoracic surgery and a localized high posterolateral incision.