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International Society For Minimally Invasive Cardiothoracic Surgery

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Caitlin Takahashi1, Mark Iannettoni2, Aundrea Oliver3, Carlos Anciano3, James Speicher3.
1East Carolina University, Winterville, NC, USA, 2East Carolina Heart Institute, Greenville, NC, USA, 3East Carolina Heart Institute, Winterville, NC, USA.

BACKGROUND: The purpose of this video is to demonstrate the efficacy of minimally invasive lobectomy with chest wall resection for non-small cell lung cancer invading the chest wall without the need for chest wall reconstruction. METHODS: The patient is a 44-year-old African American male former smoker without significant past medical history who presented with an incidentally found asymptomatic right upper lobe lung mass invading the chest wall. There was no evidence of metastatic disease. He was taken to the OR for thoracoscopic right upper lobectomy and chest wall resection, as well as lymphadenectomy of stations 4, 7, 8, 9, and 10 performed without incident. He did not require chest wall reconstruction as his scapula extended below the inferior resected rib and had no risk of entrapment. RESULTS: The patient was discharged on postoperative day five and followed up in the clinic without postoperative complications or mobility issues and with almost completely healed port sites. Pathology returned with squamous cell carcinoma, negative margins, and no involved lymph nodes. CONCLUSIONS:This video demonstrates the efficacy of minimally invasive lobectomy with chest wall resection with good functional outcomes for the patient.

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