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Medicine
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
JoVE Journal
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JoVE Journal Medicine
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Full Text
254 Views
11:17 min
February 27, 2026

DOI: 10.3791/69933-v

Hui-Jing Deng1,2, Jing-Bo Zhang1,2, Shi-Jie Lu1,2, Ze-Rui Zhao1,2

1Department of Thoracic Surgery,Sun Yat-sen University Cancer Center, 2State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer,Sun Yat-sen University Cancer Center

Here we present thoracoscopic extended sleeve lobectomy, an applicable procedure for patients with centrally located non-small-cell lung cancer that exceeds an anatomic lobe and improves the probability of complete resection while preserving respiratory capacity.

The video aims to demonstrate the procedures for thoracoscopic right middle plus lower sleeve lobectomy for non-small-cell lung cancer. Early advanced non-small-cell lung cancers of the central airway may require bronchial reconstruction. Preoperative evaluations begins with a bronchoscopy to confirm the diagnosis and bronchial invasion.

Contrast enhanced CT scans is required to demonstrate the tumor and potential vascular involvement. Our patient was a 57-year-old man who presented with mild hemoptysis. He underwent a bronchoscopy and confirmed a squamous cell carcinoma in his bronchus intermedius.

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