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Right arrow Lung - cancer

Ann Thorac Surg 2003;76:2079-2080
© 2003 The Society of Thoracic Surgeons

Case report

Combined video-assisted thoracoscopic lung volume reduction surgery and lobectomy in a high-risk patient

James W. Klena, MDa*, Arthur F. Saari, MD, FCCPb, David O. Peterson, MDc, Christianne Collins, CNPa, Joel A. Johnson, MD, FACSa

a Department of Cardiothoracic Surgery, Marquette General Hospital, Marquette, Michigan, USA
b Department of Pulmonary Medicine, Marquette General Hospital, Marquette, Michigan, USA
c Department of Anesthesia, Marquette General Hospital, Marquette, Michigan, USA

Accepted for publication April 8, 2003.

* Address reprint requests to Dr Klena, 528 Bishop Woods Road, Marquette, MI 49855, USA
e-mail: jwklena{at}yahoo.com

Nonsmall cell lung cancer often occurs in patients with severe emphysema. Lobectomy in these patients is often contraindicated due to extensive parenchymal destruction and subsequent pulmonary insufficiency. Video-assisted thoracoscopic lobectomy has been described as a less morbid procedure in high-risk patients. Lung volume reduction surgery has been shown to improve pulmonary function in selected patients with emphysema. We describe the successful combination of lobectomy and lung volume reduction surgery (LVRS) with a video-assisted thoracoscopic (VATS) approach in a high-risk patient with Stage I nonsmall cell lung cancer.




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Q.-Y. Tan, R.-W. Wang, Y.-G. Jiang, S.-Z. Fan, M. K.Y. Hsin, T.-Q. Gong, J.-H. Zhou, and Y.-P. Zhao
Lung Volume Reduction Surgery Allows Esophageal Tumor Resection in Selected Esophageal Carcinoma With Severe Emphysema
Ann. Thorac. Surg., November 1, 2006; 82(5): 1849 - 1856.
[Abstract] [Full Text] [PDF]


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