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Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule.
Int J Surg Case Rep 2019; 59:7-10IJ

Abstract

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.

Authors+Show Affiliations

Department of Thoracic Surgery, Nagoya City East Medical Center, Japan. Electronic address: kotaro087@gmail.com.Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31085387

Citation

Mizuno, Kotaro, and Tadashi Sakane. "Safe Resection Margin in Video-assisted Left Anterior and Lingular Segmentectomy for an Impalpable Lung Nodule." International Journal of Surgery Case Reports, vol. 59, 2019, pp. 7-10.
Mizuno K, Sakane T. Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule. Int J Surg Case Rep. 2019;59:7-10.
Mizuno, K., & Sakane, T. (2019). Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule. International Journal of Surgery Case Reports, 59, pp. 7-10. doi:10.1016/j.ijscr.2019.04.048.
Mizuno K, Sakane T. Safe Resection Margin in Video-assisted Left Anterior and Lingular Segmentectomy for an Impalpable Lung Nodule. Int J Surg Case Rep. 2019;59:7-10. PubMed PMID: 31085387.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Safe resection margin in video-assisted left anterior and lingular segmentectomy for an impalpable lung nodule. AU - Mizuno,Kotaro, AU - Sakane,Tadashi, Y1 - 2019/05/07/ PY - 2019/02/27/received PY - 2019/04/05/revised PY - 2019/04/16/accepted PY - 2019/5/16/pubmed PY - 2019/5/16/medline PY - 2019/5/16/entrez KW - Minimally invasive surgery KW - Segmentectomy KW - Video-assisted thoracoscopic surgery SP - 7 EP - 10 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 59 N2 - 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. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/31085387/Safe_resection_margin_in_video-assisted_left_anterior_and_lingular_segmentectomy_for_an_impalpable_lung_nodule L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(19)30241-X DB - PRIME DP - Unbound Medicine ER -