Thoracoscopic Lobectomy for Treating Cancer in a Patient with an Unusual Vein Anomaly

Tadashi Akiba; Hideki Marushima; Noriteru Kamiya; Makoto Odaka; Satoki Kinoshita; Hiroshi Takeyama; Susumu Kobayashi; Toshiaki Morikawa

doi:10.5761/atcs.cr.10.01595

This article has now been updated. Please use the final version.

Thoracoscopic Lobectomy for Treating Cancer in a Patient with an Unusual Vein Anomaly

Tadashi Akiba, Hideki Marushima, Noriteru Kamiya, Makoto Odaka, Satoki Kinoshita, Hiroshi Takeyama, Susumu Kobayashi, Toshiaki Morikawa

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Keywords: computed tomography, CAT scan, lobectomy (lung), lung cancer surgery, pulmonary arteries/veins, thoracoscopy/VATS

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.10.01595

DOI https://doi.org/10.5761/atcs.cr.10.01595

The final version of this article is now available: Vol. 17 (2011) , No. 5 p.501

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Abstract

Various anatomical variants in pulmonary veins can have a serious effect on patients undergoing lung surgery. We present a case of a patient with an unusual pulmonary vein variation. Preoperative review of the patient’s three-dimensional 64-row multidetector computed tomography imaging allowed us precise simulation and good orientation of the patient’s vascular variant anatomy during surgery. Upper lobectomy through thoracoscopic approach was performed successfully in the case where the middle lobe vein might have been divided without preoperative anatomical evaluation by 3D CT images.

(Released on June 14, 2011, at ATCS Home Page as Online Advance Publication ahead of J-STAGE.)

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