Uniportal VATS Resection of the Anterior Segment of the Left Upper Lobe

2018-04-11T21:45:33Z (GMT) by Davor Stamenovic Antje Messerschmidt
<p>Anterior segment resection of the left upper lobe is rarely performed. It is, however, usually incorporated within resection of the upper three segments of the left upper lobe.<br></p><p>A 56-year-old patient, with a known oropharyngeal carcinoma and otherwise amenable to curative treatment, was admitted to the authors’ clinic for a 1 cm nodule in the anterior segment of the left upper lobe. Distant metastases were excluded, and a decision was made to proceed with uniportal video-assisted thoracoscopic surgery to perform a segmentectomy and lymphadenectomy. An anatomical anterior segment resection of the upper left lobe was conducted, followed by radical lymph node dissection.</p><p>The patient’s postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. Pathologic investigation revealed that the tumor was a primary solid 1 cm adenocarcinoma, and the final stage was pT1aN0M0.</p>