Abstract
BackgroundIt is a very rare condition for a patient to have right lung cancer and a right-sided aortic arch simultaneously. Right lobectomy under video-assisted thoracoscopic surgery (VATS) in such a patient is a challenging procedure that is seldom reported. We successfully performed a VATS right upper lobectomy in a 77-year-old female with a right-sided aortic arch and Kommerell diverticulum.Case presentationA 77-year-old woman was referred to our division for a mixed ground-glass opacity lesion in the right upper lung. A right-sided aortic arch with Kommerell diverticulum was identified by preoperative 3D CT reconstruction. A VATS right upper lobectomy with radical mediastinal lymph node dissection was performed, and the final histological staging was Ia3 (pT1cN0M0). The patient was discharged without any complications.ConclusionsWe conclude that the video-assisted thoracic surgery can be safely performed in such conditions. It is difficult to determine the extent of upper mediastinal lymph node dissection in such cases.
Highlights
It is a very rare condition for a patient to have right lung cancer and a right-sided aortic arch simultaneously
We conclude that the video-assisted thoracic surgery can be safely performed in such conditions
It is difficult to determine the extent of upper mediastinal lymph node dissection in such cases
Summary
VATS right lobectomy with mediastinal lymph node dissection can be safely performed in patients with a right-sided aortic arch. Ethics approval and consent to participate We performed this case report in accordance with the Declaration of Helsinki and the Ethics Committee of Fujian Provincial Hospital. Consent for publication Written informed consent was obtained from the patient for publication of this case report and accompanying images. Two surgical cases of right squamous cell lung cancer involving the right aortic arch. Two cases of right lung cancer with right aortic arch. Video-assisted thoracic surgery lobectomy for right lung cancer in a patient with right aortic arch: report of a case. Author details 1Department of Thoracic Surgery, Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, No 134 East St., Fuzhou 350001, Fujian, China. Author details 1Department of Thoracic Surgery, Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, No 134 East St., Fuzhou 350001, Fujian, China. 2Department of Radiology, Fujian Provincial Hospital, Fuzhou 350001, China
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