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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e10-e13
DOI: 10.1055/s-0043-1760749
Case Report: Thoracic

Split-Lobe for Tumor between Left S3 and S4 by Uniportal Video-Assisted Thoracoscopy

KangNing Wang 
1   Sichuan Cancer Hospital and Institute, Chengdu, Sichuan, China
,
Xing Wei 
2   Department of Thoracic Surgery, Sichuan Cancer Hospital and Institute, Chengdu, Sichuan, China
,
Qiang Fang 
3   Department of Thoracic Surgery, University of Electronic Science and Technology of China, Sichuan Cancer Hospital and Research Institute, Cancer Hospital Affiliated to School of Medicine, Wuhou District, Chengdu, China
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Abstract

Video-assisted thoracoscopic surgery (VATS) segmentectomy is an optimal treatment for malignant pulmonary ground glass nodules (GGNs). However, this surgery is complicated when tumors are located between more than two adjacent segments, although combined subsegmentectomy ensures sufficient margin under uniportal approach. Lobectomy might be inevitable, especially when resecting deep nodules in the central left upper lung lobe. Here, we present cases wherein we performed uniportal VATS (UVATS) resection for GGNs located between borders of left S3 and S4, with three-dimensional reconstruction conducted before surgery. The strategy of resecting central tumors in the left upper lung lobe between left S3 and S4 via UVATS is simple and feasible.

Keywords

lung GGNs - S3 and S4 - uniportal VATS


Publication History

Received: 05 March 2022

Accepted: 08 November 2022

Article published online:
25 February 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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