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Pulmonary resection in a prone position for lung cancer invading the spine.

Authors
  • Miyauchi, Shunsaku1
  • Soh, Junichi2
  • Shien, Kazuhiko1
  • Tanaka, Masato3
  • Yamamoto, Hiromasa1
  • Ozaki, Toshifumi3
  • Toyooka, Shinichi1
  • 1 Departments of General Thoracic, Breast, and Endocrinological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. , (Japan)
  • 2 Departments of General Thoracic, Breast, and Endocrinological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. [email protected] , (Japan)
  • 3 Departments of Orthopedic Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan. , (Japan)
Type
Published Article
Journal
General thoracic and cardiovascular surgery
Publication Date
Mar 01, 2020
Volume
68
Issue
3
Pages
298–301
Identifiers
DOI: 10.1007/s11748-019-01113-7
PMID: 30903520
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The prone position is usually not selected for pulmonary resection. The intraoperative body position is an important issue in surgery for non-small cell lung cancer invading the spine because the standard intraoperative body position for a vertebrectomy is a prone position, while that for a pulmonary resection is a lateral decubitus position. Intraoperative changes in body position can cause several complications. Using an O-arm with a navigation system, a partial vertebrectomy was completed with the patient in a prone position thanks to the recognition of accurate surgical margins in the vertebral body; then, without changing the patient's body position, a lobectomy with systemic lymph node dissection was performed via a posterior approach. Especially for procedures requiring a wide resection of the chest wall, a prone position can be selected for a lobectomy with systemic lymph node dissection via a posterior approach without any significant difficulties.

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