Case Report | Case Rep J. 2017;1(1):005 | Open Access

Transmediastinal Left-Sided Video-Assisted Thoracoscopic Lung Volume Reduction Surgery after Right Upper Lobectomy for Destroyed Upper Lobe

Thanh-Long Nguyen, Ralph A Schmid and Gregor J Kocher

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Abstract

Exploration of the contralateral pleural cavity via transmediastinal access has been described for minor lung resections in close proximity to the mediastinum. Also simultaneous thoracoscopic bilateral bullectomy through mediastinal access has been described as an alternative to bilateral sequential thoracoscopic procedures in highly selected patients with bilateral spontaneous pneumothorax. We herein describe a more complex procedure during which a video-assisted lung volume reduction surgery was performed through an anterior transmediastinal access following right sided thoracotomy and lobectomy of a completely destroyed upper lobe in a patient with borderline lung function and severe bilateral lung emphysema.

Keywords: Emphysema; Thoracoscopy/VATS; Lung volume reduction surgery (LVRS); Transmediastinal

Citation: Nguyen TL, Schmid RA, Kocher GJ. Transmediastinal Left-Sided Video-Assisted Thoracoscopic Lung Volume Reduction Surgery after Right Upper Lobectomy for Destroyed Upper Lobe. Case Rep J. 2017;1(1):005