Open AccessUniportal video-assisted thoracoscopic surgery (VATS) lobectomy with en bloc lymphadenectomy for a large central type carcinoma at right upper lobe
Author(s) -
Hongbo Guo,
Jing Wang,
Feng Chen,
Hui Li,
Jian Sun,
Bobo Li
Publication year - 2018
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2018.04.28
Subject(s) - medicine , lymphadenectomy , dissection (medical) , cardiothoracic surgery , adenocarcinoma , radiology , lung cancer , surgery , lymph node , mediastinal lymph node , carcinoma , stage (stratigraphy) , cancer , metastasis , pathology , paleontology , biology
A 59-year-old man had a persistent cough for 6 weeks. After admission, the contrast-enhanced chest CT revealed a 7 cm × 6 cm × 6 cm tumor in diameter at the right upper lobe. Flexible bronchoscopy detected a neoplasm at the orifice to the anterior segmental bronchus of the right upper lobe. The biopsy revealed as adenocarcinoma. Preoperative imaging studies defined the disease as stage IIb-IIIa (T3N0-1M0) non-small cell lung cancer (NSCLC). Other preoperative workup confirmed the patient was operable, and a uniportal video-assisted thoracic surgery (VATS) right upper lobectomy with systematic lymph node dissection was performed. The final pathological result showed a pT3N2M0 (IIIa) adenocarcinoma.