Middle lobe preservation and fixation after right upper and lower lobectomy for synchronous lung cancer

AbstractSitus inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS1). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS1 and a partial excision to the left middle lobe with bronchiectasis through a single 3 cm length incision. We believe that the case can give surgeons some experience and inspiration.

Download Full-text

Is the Rate of Pneumonectomy Higher in Right Middle Lobe Lung Cancer Than in Other Right-Sided Locations?

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2013.10.048 ◽

2014 ◽

Vol 97 (2) ◽

pp. 402-407 ◽

Cited By ~ 1

Author(s):

Caroline Rivera ◽

Pierre Mordant ◽

Ciprian Pricopi ◽

Alex Arame ◽

Christophe Foucault ◽

...

Keyword(s):

Lung Cancer ◽

Middle Lobe ◽

Right Middle Lobe

Download Full-text

Sequential right upper sleeve lobectomy and left pneumonectomy for bilateral synchronous lung cancer

European Journal of Cardio-Thoracic Surgery ◽

10.1016/j.ejcts.2008.12.027 ◽

2009 ◽

Vol 35 (4) ◽

pp. 743-744 ◽

Cited By ~ 2

Author(s):

Volkan Baysungur ◽

Erdal Okur ◽

Leyla Tuncer ◽

Semih Halezeroglu

Keyword(s):

Lung Cancer ◽

Sleeve Lobectomy ◽

Synchronous Lung Cancer ◽

Left Pneumonectomy

Download Full-text

A case of synchronous left lung lower lobectomy and right S6 segmentectomy for bilateral lung cancer.

The Journal of the Japanese Association for Chest Surgery ◽

10.2995/jacsurg.12.722 ◽

1998 ◽

Vol 12 (6) ◽

pp. 722-725

Author(s):

Katsuyuki Ichiki ◽

Sigeki Sugiyama ◽

Hiroiku Hara ◽

Yosinori Doki ◽

Tomohiko Ikeya ◽

...

Keyword(s):

Lung Cancer ◽

Left Lung ◽

Lower Lobectomy ◽

Bilateral Lung

Download Full-text

Sequencing a super multiple synchronous lung cancer reveals a novel variant in driver gene ARID1B

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2018.01.010 ◽

2018 ◽

Vol 155 (6) ◽

pp. e185-e191 ◽

Cited By ~ 3

Author(s):

Kai Su ◽

Shugeng Gao ◽

Jianming Ying ◽

Shuangmei Zou ◽

Jie He

Keyword(s):

Lung Cancer ◽

Driver Gene ◽

Novel Variant ◽

Synchronous Lung Cancer

Download Full-text

Upper and Middle Lobe Atelectasis

Chest Imaging ◽

10.1093/med/9780199858064.003.0017 ◽

2019 ◽

pp. 93-97

Author(s):

Christopher M. Walker

Keyword(s):

Lung Cancer ◽

Main Bronchus ◽

Lower Lobe ◽

Outpatient Setting ◽

Middle Lobe ◽

Inpatient Setting ◽

Central Mass ◽

Contrast Enhanced Ct ◽

Left Hemidiaphragm ◽

Contrast Enhanced

Upper and middle lobe atelectasis discusses the radiographic and computed tomography (CT) manifestations of upper and middle lobe atelectasis. The most common radiographic signs of right upper lobe atelectasis include upward and medial displacement of the minor fissure, superior displacement of adjacent structures such as the hilum and main bronchus, and ipsilateral shift of the mediastinal structures. The S sign of Golden results from a centrally obstructing lung cancer as the cause of the atelectasis and manifests as a reverse S configuration of the minor fissure outlined by atelectatic lung and central mass. Left upper lobe atelectasis manifests with a veil-like opacity on frontal radiography with leftward shift of upper mediastinal structures such as the trachea and upward shift of the left main bronchus and left hemidiaphragm. The Luftsichel sign or air crescent sign may be seen and represents the hyperexpanded superior segment of the left lower lobe outlining the transverse aortic arch. Lobar atelectasis in the inpatient setting is most commonly secondary to an obstructing mucus plug. Lobar atelectasis in the outpatient setting is often a heralding sign of a centrally obstructing lung cancer and should be further evaluated with contrast-enhanced CT and/or bronchoscopy.

Download Full-text