Video-assisted thoracic surgery (VATS) right lower lobectomy after neoadjuvant treatment – case report
Journal
Kosova Journal of Surgery
Date Issued
2022-01-10
Author(s)
Nexhati Jakupi
Dzikovksi Igor
Abstract
Lung cancer is the most common cause of cancer-related death in men and second-most common
in women. While surgical resection offers the best chance of curing those with early-stage lung
cancer, the traditional open-chest approach (called a thoracotomy) typically requires five to
seven days of recovery in the hospital, with an extended recovery at home. Over the past two
decades, video-assisted thoracic surgery (VATS) has revolutionized how thoracic surgeons
diagnose and treat lung diseases. This video-assisted thoracic surgery (VATS) technique reduces
a patient's hospital stay to about three to four days, and the patient experiences a more rapid
recovery with less pain after VATS lobectomy surgery as compared with the traditional
thoracotomy approach. We report a VATS right lower lobectomy case in a 65-year-old patient
with post neoadjuvant therapy for adenocarcinoma. With pre-surgical tests, which include: a
complete physical exam, CT scan, PET scan, bronchoscopy, blood test, electrocardiogram and
spirometry. The patient was proposed for two-portal thoracoscopic surgery. The patient was
placed in a left lateral decubitus position, and a double incision was performed at the anterior
level of the 5th intercostal space (4 cm incision) and the second one at the level of the 8th
intercostal space (2 cm incision). A right lower lobectomy with a two-portal technique was
successfully performed. The postoperative course was without complications, and the patient
was discharged home on the 4th postoperative day. The two-portal video-assisted thoracoscopic
surgery (VATS) approach is an excellent option for lung cancer management, offering a quick
recovery and low morbidity.
in women. While surgical resection offers the best chance of curing those with early-stage lung
cancer, the traditional open-chest approach (called a thoracotomy) typically requires five to
seven days of recovery in the hospital, with an extended recovery at home. Over the past two
decades, video-assisted thoracic surgery (VATS) has revolutionized how thoracic surgeons
diagnose and treat lung diseases. This video-assisted thoracic surgery (VATS) technique reduces
a patient's hospital stay to about three to four days, and the patient experiences a more rapid
recovery with less pain after VATS lobectomy surgery as compared with the traditional
thoracotomy approach. We report a VATS right lower lobectomy case in a 65-year-old patient
with post neoadjuvant therapy for adenocarcinoma. With pre-surgical tests, which include: a
complete physical exam, CT scan, PET scan, bronchoscopy, blood test, electrocardiogram and
spirometry. The patient was proposed for two-portal thoracoscopic surgery. The patient was
placed in a left lateral decubitus position, and a double incision was performed at the anterior
level of the 5th intercostal space (4 cm incision) and the second one at the level of the 8th
intercostal space (2 cm incision). A right lower lobectomy with a two-portal technique was
successfully performed. The postoperative course was without complications, and the patient
was discharged home on the 4th postoperative day. The two-portal video-assisted thoracoscopic
surgery (VATS) approach is an excellent option for lung cancer management, offering a quick
recovery and low morbidity.
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