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Uniportal VATS Chest Wall and Diaphragm Resection and Reconstruction

  • Firas Abu Akar
  • Diego Gonzalez-RivasEmail author
Chapter

Abstract

Lung cancer is one of the leading causes of death around the world. Only a small percentage (5%) of cases of pulmonary tumors that are subjected to resection is needed to be removed en bloc with a part from the chest wall due to its involvement by the tumor. These patients are divided into two groups for historical and anatomical reasons, tumors involving and/or superior to the second rib (Pancoast), and tumors located inferior to the second rib. The issue of post-thoracotomy pain is increased after chest wall resection, especially after resections involving the paravertebral area, en bloc resection of the chest wall together with the lobe is the procedure of choice to achieve complete resection in lung cancer invading the chest wall relying on most of the series advocated that [1–3]. Surgical treatment of non-small cell lung cancer (NSCLC) invading the chest wall by extrapleural or “en bloc” resection is widely adopted and justified by the good results, in terms of morbidity and relief of pain. Survival always depends on the nodal status.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Cardiothoracic surgeryMakassed Charitable Society HospitalEast JerusalemIsrael
  2. 2.Department of Cardiothoracic SurgeryShaare Zedek Medical Center (SZMC)JerusalemIsrael
  3. 3.Department of Thoracic Surgery, Shanghai Pulmonary HospitalTongji University School of MedicineShanghaiChina
  4. 4.Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI)Coruña University HospitalCoruñaSpain

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