| Ruijie Zhang,yixin Cai,Shengling Fu,Xiangning Fu,Ni Zhang. Middle lobe torsion after right upper and lower lobectomy: repositioning of lobar torsion using a 3-cm uniportal video-assisted thoracoscopic surgery. Oncol Transl Med, 2017, 3: 38-40. |
| Middle lobe torsion after right upper and lower lobectomy: repositioning of lobar torsion using a 3-cm uniportal video-assisted thoracoscopic surgery |
| Received:July 05, 2016 Revised:January 19, 2017 |
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| KeyWord:lobe torsion; 3-cm uniportal; video-assisted thoracoscopic surgery (VATS) |
| Author Name | Affiliation | E-mail | | Ruijie Zhang | Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China | jerry_zhang@tjh.tjmu.edu.cn | | yixin Cai | Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China | yixin28@qq.com | | Shengling Fu | Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China | t0102005@126.com | | Xiangning Fu | Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China | fuxn2006@aliyun.com | | Ni Zhang | Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China | zhangnidoc@gmail.com |
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| Abstract: |
| We aimed to describe a method for repositioning of right middle lobar torsion by using a 3-cm uniportal
video-assisted thoracoscopic surgery (VATS) approach. Middle lobe torsion occurred after right upper and
lower lobectomy in a 74-year-old man. Immediate re-exploratory thoracotomy using the 3-cm uniportal
VATS approach was performed. The torsion was corrected, and the lobe was anchored to the anterior chest
wall with Prolene stitches. The patient recovered well postoperatively with daily improvements in chest
radiographic findings. Follow-up examination was performed using fiberbronchoscopy, which revealed an
unobstructed right middle lobe bronchus and sticky yellow sputum. Follow-up chest computed tomography
was performed 3 months after the primary surgery and revealed increased expansion of the right middle
lobe. We repositioned the right middle lobe successfully by using the 3-cm uniportal VATS approach, but
more cases are needed to confirm the feasibility of the approach. Lobectomy remains the primary treatment
option for such cases. |
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