Surgical treatment of lung metastasis has become common, but extended pulmonary metastasectomy
is not accepted worldwide. We report a case of huge apical pulmonary metastasis of
renal cancer with involvement of the subclavian vessels associated to two additional
lesions of the lower lobe. All lung deposits were successfully removed through a combination
of a transmanubrial cervicothoracic approach for the apical lesion and a videothoracoscopic
technique for the nodules of the lower lobe.
Lung metastasis - thoracoscopy - surgery - cervicothoracic junction
