초록접수 현황
| 20F-210 | 포스터 발표 |
Thoracoscopic Right Middle Lobe Lateral Segmentectomy: Case Report of 2 Cases
Sun-Geun Lee¹, Dae Hyun Kim¹, Sang-Ho Cho¹, Won Kyoun Park¹, Jae Won Song¹
Joo Chul Park², Bum Shik Kim², Soo Cheol Kim², Sang-Pil Kim², Hyo Chul Youn²
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Republic of Korea¹
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Republic of Korea²
Purpose : Lobectomy is routinely performed to treat lung diseases of the right middle lobe (RML), especially if nodules are unresectable by wedge resection. Although the RML usually accounts for 10% of total lung volume, we occasionally encounter patients with large RML, marginal lung function or lacking in margin to wedge resection. In this report, we will discuss the feasibility of RML segmentectomy and its benefits.
Methods : In June 17th 2020 and June 30th 2020, we performed 2 cases of right lateral segmentectomy via VATS using 2 ports. The first patient, a 53-year-old female patient was admitted to evaluate pathologically unconfirmed central portion 0.9cm GGO in right middle lobe lateral segment (S4) in CT image. The second patient, a 55-year-old female patient was transferred from other department to evaluate pathologically unconfirmed central portion 2.4cm solid mass in S4 and small solid nodules (<6mm) in S4 and left lower lobe. The nodules were suspicious for primary lung cancer or metastatic cancer.
Results : In case of the first patient, pathological result was minimally invasive adenocarcinoma in frozen result. Following lymph node dissection was performed. Chest tube was removed in post-operative day 2 and patient was discharged without any complication. In case of the second patient, pathological result was metastatic cancer of breast origin. Chest tube was removed in post-operative day 3 and patient was transferred to undergo palliative chemotherapy.
Conclusion : Thoracoscopic right S4 segmentectomy is technically feasible and beneficial for patients having marginal lung function, central portion tumor or large RML.
Methods : In June 17th 2020 and June 30th 2020, we performed 2 cases of right lateral segmentectomy via VATS using 2 ports. The first patient, a 53-year-old female patient was admitted to evaluate pathologically unconfirmed central portion 0.9cm GGO in right middle lobe lateral segment (S4) in CT image. The second patient, a 55-year-old female patient was transferred from other department to evaluate pathologically unconfirmed central portion 2.4cm solid mass in S4 and small solid nodules (<6mm) in S4 and left lower lobe. The nodules were suspicious for primary lung cancer or metastatic cancer.
Results : In case of the first patient, pathological result was minimally invasive adenocarcinoma in frozen result. Following lymph node dissection was performed. Chest tube was removed in post-operative day 2 and patient was discharged without any complication. In case of the second patient, pathological result was metastatic cancer of breast origin. Chest tube was removed in post-operative day 3 and patient was transferred to undergo palliative chemotherapy.
Conclusion : Thoracoscopic right S4 segmentectomy is technically feasible and beneficial for patients having marginal lung function, central portion tumor or large RML.
책임저자: Dae Hyun Kim
Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Republic of Korea
발표자: Sun-Geun Lee, E-mail : yzarcsidog@naver.com