Uniportal VATS Fissureless Resection of the Anterior Segment of the Right Upper Lobe

2018-05-23T20:16:24Z (GMT) by Davor Stamenovic Antje Messerschmidt
A 79-year-old female patient was admitted to the author’s clinic for the treatment of a solitary tumorous formation, which appeared to be a metachronous metastatic tumor of a colon carcinoma located in the anterior segment of the right upper lobe.

Due to enlarged mediastinal lymph nodes, the patient underwent an endobronchial ultrasound prior to surgery. Since the results were favorable, surgery was offered. An anatomical anterior segment resection of the upper right lobe was conducted, followed by radical lymph node dissection. The patient’s postoperative course was uneventful, and she was discharged on the fourth postoperative day.

Pathologic investigation revealed that the lymph nodes at the second and fourth stations had metastasis, but without extranodal growth. The patient had already been treated with diverse chemotherapy, therefore radiotherapy was offered as she was under elevated risk for a local recurrence.