Weichun Wu1, Yimin Wu2, Gang Shen2, Guofei Zhang3. 1. Department of Cardiothoracic Surgery, First People's Hospital of Yuhang District; Yuhang Branch of the Second Affiliated Hospital of the Zhejiang University School of Medicine, 369 Yingbin Road, Hangzhou, 311100, China. 2. Department of Thoracic Surgery, The Second Affiliated Hospital of the Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou, 310009, China. 3. Department of Thoracic Surgery, The Second Affiliated Hospital of the Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou, 310009, China. 2312057@zju.edu.cn.
Abstract
BACKGROUND: As the positions and sizes of nodules in synchronous multiple primary lung cancer (SMPLC) patients differ, the development of surgical strategies to maximize long-term survival and preserved postoperative pulmonary function in SMPLC patients for whom surgical resection is an alternative strategy presents challenges. CASE PRESENTATION: We provide a case managed through video-assisted thoracoscopic surgery (VATS) resection using three-dimensional computed tomography lung reconstruction (3D-CTLR) to reconstruct lobes containing pulmonary nodules to preoperatively simulate and intraoperatively guide the extent and method of resection. CONCLUSION: The successful attempt demonstrates a technically simplified, feasible alternative to preoperative plans utilizing less invasive VATS to manage SMPLC.
BACKGROUND: As the positions and sizes of nodules in synchronous multiple primary lung cancer (SMPLC) patients differ, the development of surgical strategies to maximize long-term survival and preserved postoperative pulmonary function in SMPLC patients for whom surgical resection is an alternative strategy presents challenges. CASE PRESENTATION: We provide a case managed through video-assisted thoracoscopic surgery (VATS) resection using three-dimensional computed tomography lung reconstruction (3D-CTLR) to reconstruct lobes containing pulmonary nodules to preoperatively simulate and intraoperatively guide the extent and method of resection. CONCLUSION: The successful attempt demonstrates a technically simplified, feasible alternative to preoperative plans utilizing less invasive VATS to manage SMPLC.
Authors: Celalettin Ibrahim Kocaturk; Mehmet Zeki Gunluoglu; Levent Cansever; Adalet Demir; Ulas Cinar; Seyyit Ibrahim Dincer; Mehmet Ali Bedirhan Journal: Eur J Cardiothorac Surg Date: 2010-07-21 Impact factor: 4.191