One Stage Minimally Invasive Thoracoscopic Lung Resection and Transphrenic Adrenalectomy
One Stage Minimally Invasive Thoracoscopic Lung Resection and Transphrenic Adrenalectomy
Author Info
Patrick Bagan Bassel Dakhil Rym Zaimi Mahine Kashi-Dakhil
Corresponding Author
Patrick BaganDepartment of Thoracic and Vascular Surgery, Victor Dupouy Hospital, Argenteuil, France
A B S T R A C T
Surgery may offer a long-term survival benefit to a small proportion of patients with operable non-small cell lung cancer (NSCLC) and solitary adrenal metastasis. Several approaches to lung resection with a separate open or laparoscopic adrenalectomy have been advocated. We present a technique that allows a single incision, single operation through a transdiaphragmatic approach to the ipsilateral adrenal gland following lung resection through a video assisted thoracic surgery (VATS) approach. By using this approach, along with an advanced bipolar device to aid adrenal dissection and clip-less vessel closure, both lobectomy and adrenalectomy can be carried out safely and effectively with minimal perioperative and postoperative morbidity.
Article Info
Article Type
Case ReportPublication history
Received: Mon 17, Aug 2020Accepted: Mon 31, Aug 2020
Published: Mon 21, Sep 2020
Copyright
© 2023 Patrick Bagan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.DOI: 10.31487/j.SCR.2020.09.03