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J Thorac Cardiovasc Surg 2005;130:916-917
© 2005 The American Association for Thoracic Surgery
Brief Communication |
a Department of General Thoracic Surgery, Tottori University Hospital
b Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Japan
Received for publication February 1, 2005; accepted for publication March 1, 2005. * Address for reprints: Yuji Taniguchi, MD, Department of General Thoracic Surgery, Tottori University Hospital, 36-1 Nishi-Cho, Yonago, Tottori, 683-8504 Japan (Email: kuichi@grape.med.tottori-u.ac.jp).
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Surgical treatment of tumor lesions in the bilateral lung is performed by a bilateral thoracotomy, a median sternotomy, and a clamshell incision. Recently, thoracoscopic surgery has become widely used for the treatment of metastatic lesions in the bilateral lung.
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Because conventional thoracoscopic surgery for the treatment of metastatic lesions in the bilateral lung is performed in the lateral decubitus position, changes in body position are troublesome. We developed a thoracoscopic partial resection of the bilateral lung with metastatic lesions using an access port inserted below the xiphoid process for which changes in the body position are not required.
Clinical Summary
A 72-year-old man was admitted to our hospital because of metastatic lung cancer after right hemicolectomy for ascending colon cancer. Chest radiography demonstrated three tumor shadows in the left upper lung field. Chest computed tomography revealed three tumor shadows in the left lung of S1+2a, S1+2c, S3a, and S3b and one tumor shadow in the
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