Abstract
Video-assisted thoracic surgery (VATS) provides less postoperative pain, preservation of the immune response and shorter recovery period, compared with thoracotomy. However, many patients complain of postoperative pain and paresthesia because VATS requires 3 or 4 incisions including a utility incision of 3–5 cm. To overcome this problem, single incision thoracoscopic surgery has emerged; this technique has been adopted for lung cancer surgery since 2010. Complete mediastinal lymph node dissection is the major role of lung cancer surgery. We describe a case of a right upper lobectomy with complete mediastinal lymph node dissection via single incision thoracosopic surgery.
Highlights
Since the 1990s, Video-assisted thoracic surgery (VATS) lobectomy has been a popular procedure for non small cell lung cancer (NSCLC)
Since the 1990s, VATS lobectomy has been a popular procedure for non small cell lung cancer (NSCLC)
Since 2010, Single incision VATS lobectomy has been performed for lung cancer
Summary
Since the 1990s, VATS lobectomy has been a popular procedure for non small cell lung cancer (NSCLC). Lobectomy for lung cancer includes two major procedures (anatomical division of the lobar artery, vein and bronchus, as well as complete mediastinal node dissection). The RUL was retracted anteriorly and a scope was placed at the posterior portion of incision. Inferior pulmonary ligament division was carried out During this procedure, the scope was placed at the anterior portion of incision and lower mediastinal nodal stations were removed. For subcarinal lymph node dissection, Divided RUL bronchus was retracted to the anterior portion using the endoinstrument or the tip of suction. Mediastinal fat tissue including lymph nodes was separated from the trachea and superior vena cava mediastinal pleura was incised above the azygos vein. En bloc resection was performed including fatty tissue and lymph nodes bounded by the RUL bronchus, subclavian artery, superior vena cava and trachea (Figure 2a) (Additional file 2: Video 2). The total number of lymph nodes dissected was 38; 30 lymph nodes were obtained from mediasitnal nodal stations
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