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J Thorac Cardiovasc Surg 2008;135:945-946
© 2008 The American Association for Thoracic Surgery

Brief Communication

Video-assisted thoracoscopic completion pneumonectomy for a second primary cancer: A case report

Department of Thoracic Surgery, Shin-Kokura Hospital, Federation of National Public Service, Personnel Mutual Aid Associations, Kitakyushu, Japan

Received for publication August 17, 2007; accepted for publication November 20, 2007.

^_* Address for reprints: Ryoichi Nakanishi, MD, PhD, Chief, Department of Thoracic Surgery, Shin-Kokura Hospital, Federation of National Public Service, Personnel Mutual Aid Associations, Kanada 1-3-1, Kokurakita-ku, Kitakyushu, 803-8505, Japan. (Email: ryoichi@med.uoeh-u.ac.jp).

The first 20% of the full text of this article appears below.

Although completion pneumonectomy offers a chance for a cure in patients with second primary lung cancer, it is also associated with high morbidity and mortality.¹ For high-risk patients, this surgical procedure may be contraindicated. Landreneau and associates have demonstrated that video-assisted thoracic surgery (VATS) has a similar efficacy to open thoracotomy while providing the benefits of a decreased pain-related morbidity.² VATS therefore seems preferable for high-risk patients. This report describes a successful completion pneumonectomy for a second primary lung cancer that was performed with a VATS approach to minimize postoperative complications in a high-risk patient with advanced age and a poor pulmonary reserve.

Clinical Summary

An 80-year-old woman who had at 77 years of age undergone bilateral pulmonary resection by VATS, including a left lower lobectomy with a mediastinal lymphadenectomy and a right anterior basal segmentectomy for synchronous tumors, was admitted after a lung abnormality was observed on chest imaging ( Figure 1). The final . . . [Full Text of this Article]

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