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Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule

INTRODUCTION: The nodule located at the left anterior segment near the lingular segment is traditionally resected by left upper lobectomy. We performed video-assisted thoracoscopic surgery (VATS) segmentectomy and could achieve a complete resection that is minimally invasive and oncologically suffic...

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Detalles Bibliográficos
Autores principales: Mizuno, Kotaro, Sakane, Tadashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517511/
https://www.ncbi.nlm.nih.gov/pubmed/31085387
http://dx.doi.org/10.1016/j.ijscr.2019.04.048
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author Mizuno, Kotaro
Sakane, Tadashi
author_facet Mizuno, Kotaro
Sakane, Tadashi
author_sort Mizuno, Kotaro
collection PubMed
description INTRODUCTION: The nodule located at the left anterior segment near the lingular segment is traditionally resected by left upper lobectomy. We performed video-assisted thoracoscopic surgery (VATS) segmentectomy and could achieve a complete resection that is minimally invasive and oncologically sufficient. PRESENTATION OF CASE: An 82-year-old woman was found to have a nodule in the left anterior segment of the lung on chest computed tomography (CT). The nodule was 1.9 cm in size and strongly suspected to be lung carcinoma. No suspicious regions of metastasis were observed; thus, we diagnosed stage IA2 and decided to perform anterior and lingular segmentectomy by VATS. DISCUSSION: Because of the location, the tumor is traditionally resected by left upper lobectomy. However, we planned a minimally invasive intervention and performed anterior and lingular segmentectomy by VATS using a CT-guided nodule marking prior to the surgery. CONCLUSION: This technique resulted in complete tumor resection with minimal adverse effects.
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spelling pubmed-65175112019-05-21 Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule Mizuno, Kotaro Sakane, Tadashi Int J Surg Case Rep Article INTRODUCTION: The nodule located at the left anterior segment near the lingular segment is traditionally resected by left upper lobectomy. We performed video-assisted thoracoscopic surgery (VATS) segmentectomy and could achieve a complete resection that is minimally invasive and oncologically sufficient. PRESENTATION OF CASE: An 82-year-old woman was found to have a nodule in the left anterior segment of the lung on chest computed tomography (CT). The nodule was 1.9 cm in size and strongly suspected to be lung carcinoma. No suspicious regions of metastasis were observed; thus, we diagnosed stage IA2 and decided to perform anterior and lingular segmentectomy by VATS. DISCUSSION: Because of the location, the tumor is traditionally resected by left upper lobectomy. However, we planned a minimally invasive intervention and performed anterior and lingular segmentectomy by VATS using a CT-guided nodule marking prior to the surgery. CONCLUSION: This technique resulted in complete tumor resection with minimal adverse effects. Elsevier 2019-05-07 /pmc/articles/PMC6517511/ /pubmed/31085387 http://dx.doi.org/10.1016/j.ijscr.2019.04.048 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mizuno, Kotaro
Sakane, Tadashi
Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title_full Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title_fullStr Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title_full_unstemmed Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title_short Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
title_sort safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517511/
https://www.ncbi.nlm.nih.gov/pubmed/31085387
http://dx.doi.org/10.1016/j.ijscr.2019.04.048
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