Thoracoscopic completion right lower lobectomy after anteromedial basilar segmentectomy in early‐stage lung cancer

Liu, Yu-Wei; Chou, Shah‐Hwa; Hung, Jen‐Yu; Kao, Chieh-Ni; Chang, Po‐Chih

doi:10.1111/1759-7714.13036

Cited by 5 publications

(14 citation statements)

References 5 publications

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“…7) in which VATS was used to perform CL has been reported in a previous study. 9 Herein, we describe another case of thoracotomy for CL (No. 5).…”

Section: Resultsmentioning

confidence: 99%

“… 7 In terms of technical issues, some authors have addressed the use of simultaneous division of the PA and lung parenchyma with a stapler to manage tight adhesions. 8 , 9 Simultaneous stapling of the bronchus and PA is generally not preferred because of the risk of staple line bursts, bronchopleural fistula, and massive bleeding; however, no adverse events resulting from simultaneous stapling have been reported in the literature. Lewis et al encountered no significant stapling‐related complications in 400 consecutive lobectomies, all performed using simultaneous stapling.…”

Section: Discussionmentioning

confidence: 99%

“…So far, few studies have reported surgical outcomes on CL after segmentectomy. 5 , 6 , 7 , 8 , 9 , 10 However, it is unknown whether this challenging procedure affects patient safety and recovery. In this study, we aimed to retrospectively investigate the single‐institutional experience of patients undergoing CL after VATS segmentectomy.…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary completion lobectomy after segmentectomy: An integrated analysis of perioperative outcomes

et al. 2022

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Background Completion lobectomy (CL) after anatomical segmentectomy is technically challenging and rarely performed. Here, we aimed to report perioperative outcomes of a single center real‐world CL data. Methods Seven patients who underwent CL after segmentectomy were retrospectively evaluated between 2015–2021. Additionally, 34 patients were included in the review based on relevant studies in the literature until March 2022. A total of 41 patients were finally analyzed and classified into groups, according to surgical approach (video‐assisted thoracic surgery [VATS] and thoracotomy; 12 and 29 patients, respectively) or interval‐to‐CL following initial segmentectomy (≤8 weeks [short] and >8 weeks [long]; 11 and 30 patients, respectively). Results There were no significant differences in estimated blood loss, postoperative hospital stay, or complications between the predefined groups. However, a longer operative time was observed in the long interval‐to‐CL group than in the short interval‐to‐CL group (267 vs. 226 min, p = 0.02). The rate of severe hilar adhesions was higher in the thoracotomy versus VATS groups (72 vs. 42%, p = 0.06) and in the long versus short interval‐to‐CL groups (70 vs. 45%, p = 0.15). On multivariable logistic regression analysis of a subgroup ( n = 30), completion lobectomy of upper lobes may be associated with severe hilar adhesions ( p = 0.02, odds ratio: 13.98; 95% confidence interval [CI]: 1.36–143.71). Conclusion Completion lobectomy after segmentectomy can be performed securely by either VATS or thoracotomy. Although the thoracotomy and long interval‐to‐CL groups retained a greater percentage of severe hilar adhesions, the perioperative outcomes were similar to those of VATS and short interval‐to‐CL groups, respectively.

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“…7) in which VATS was used to perform CL has been reported in a previous study. 9 Herein, we describe another case of thoracotomy for CL (No. 5).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pulmonary completion lobectomy after segmentectomy: An integrated analysis of perioperative outcomes

et al. 2022

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“…Table S 1 summarizes previously reported cases of completion lobectomy after segmentectomy for pulmonary malignancy [ 4 , 5 ]. We excluded reports of completion lobectomy after wedge resection [ 6 ] or after segmentectomy due to a short surgical margin [ 7 ] or unanticipated lymph node metastasis [ 8 ]. Omasa et al reported 11 patients (9 primary lung cancer, 2 metastatic lung cancer) who underwent completion lobectomy due to perioperative complication ( n = 3), unanticipated lymph node metastasis ( n = 3), or appearance of malignancy (2 local recurrence and 3 new malignancy) [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Four cases of completion lobectomy for locally relapsed lung cancer after segmentectomy

et al. 2021

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Background Although completion lobectomy is the treatment of choice for local recurrence of non-small cell lung cancer after segmentectomy, few cases have been reported. We report four patients who underwent completion lobectomies for staple line recurrence after segmentectomy for stage I non-small cell lung cancer. Case presentation Three women aged 65, 82, and 81 years underwent completion lower lobectomy after superior segmentectomy of the same lobe for local recurrence of stage I non-small cell lung cancer. A 67-year-old man, who had a tumor recurrence on the staple line after apical segmentectomy with superior mediastinal nodal dissection for stage I non-small cell lung cancer, underwent completion right upper lobectomy. These four patients underwent segmentectomy because of comorbidities or advanced age. Local recurrence was confirmed by computed tomography-guided needle biopsy. The interval between the two operations was 37, 39, 41, and 16 months, respectively. Although minimal hilar adhesion was seen for the three completion lower lobectomies, tight adhesions after apical segmentectomy made completion right upper lobectomy quite difficult to dissect, which led to injury of the superior pulmonary vein. No recurrence was recorded after completion lobectomies for 62, 70, 67, and 72 months, respectively. Conclusions Although completion lobectomy is one of the most difficult modes of resection, among several completion lobectomies, completion lower lobectomy after superior segmentectomy without superior mediastinal nodal dissection was relatively easy to perform because of fewer hilar adhesions.

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“…Table 1 summarizes previously reported cases of completion lobectomy after segmentectomy for pulmonary malignancy [4,5]. We excluded reports of completion lobectomy after wedge resection [6] or after segmentectomy due to a short surgical margin [7] or unanticipated lymph node metastasis [8].…”

Section: Discussionmentioning

confidence: 99%

Four Cases of Completion Lobectomy for Locally Relapsed Lung Cancer after Segmentectomy

Suzuki

Asakura

Masai

et al. 2020

Preprint

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Background: Although completion lobectomy is the treatment of choice for local recurrence of non-small cell lung cancer after segmentectomy, few cases have been reported. We report four patients who underwent completion lobectomies for staple line recurrence after segmentectomy for stage I non-small cell lung cancer. Case presentation: Three women aged 65, 82, and 81 years underwent completion lower lobectomy after superior segmentectomy of the same lobe for local recurrence of stage I non-small cell lung cancer. A 67-year-old man, who had a tumor recurrence on the staple line after apical segmentectomy with superior mediastinal nodal dissection for stage I non-small cell lung cancer, underwent completion right upper lobectomy. These four patients underwent segmentectomy because of comorbidities or advanced age. Local recurrence was confirmed by computed tomography-guided needle biopsy. The interval between the two operations was 37, 39, 41, and 16 months, respectively. Although minimal hilar adhesion was seen for the three completion lower lobectomies, tight adhesions after apical segmentectomy made completion right upper lobectomy quite difficult to dissect, which led to injury of the superior pulmonary vein. No recurrence was recorded after completion lobectomies for 62, 70, 67, and 72 months, respectively.Conclusions: Although completion lobectomy is one of the most difficult modes of resection, among several completion lobectomies, completion lower lobectomy after superior segmentectomy without superior mediastinal nodal dissection was relatively easy to perform because of fewer hilar adhesions.

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Thoracoscopic completion right lower lobectomy after anteromedial basilar segmentectomy in early‐stage lung cancer

Cited by 5 publications

References 5 publications

Pulmonary completion lobectomy after segmentectomy: An integrated analysis of perioperative outcomes

Pulmonary completion lobectomy after segmentectomy: An integrated analysis of perioperative outcomes

Four cases of completion lobectomy for locally relapsed lung cancer after segmentectomy

Four Cases of Completion Lobectomy for Locally Relapsed Lung Cancer after Segmentectomy

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