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  • Title: Successful video-assisted thoracic surgery lobectomy in a single-lung patient.
    Author: Nakanishi R, Hirai A, Muranaka K, Shinohara K.
    Journal: Surg Laparosc Endosc Percutan Tech; 2007 Dec; 17(6):562-4. PubMed ID: 18097326.
    Abstract:
    In terms of perioperative management, it is extremely difficult to perform a video-assisted thoracic surgery lobectomy for primary lung cancer in patients previously undergoing a contralateral pneumonectomy. We herein describe the successful video-assisted thoracic surgery lobectomy with systematic mediastinal lymph node dissection in a single-lung patient with clinical stage IA nonsmall cell lung cancer. Our experience indicates surgeons may consider the procedure if the following conditions are met: (1) satisfactory pulmonary function, (2) the selective bronchial blockade of the lobe to be resected, and (3) the effective retraction of the inflated lung.
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