A CASE OF SYNCHRONOUS AND BILATERAL MULTIPLE LUNG CANCER RESECTED BY MEDIASTINOTOMY BESED ON AN ONE-STEP APPROACH

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With a widespread mass-examination of lung cancer and a progression of diagnosis technology, multiple lung cancer is increasingly found. As to synchronous and bilateral multiple lung cancer, it is few to be able to obtain the preoperative diagnosis for both sides, and besides, there is a variety of arguments in the treatments. In this paper we report on a case of synchronous and bilateral multiple lung cancer, in which right upper lobecotmy and left upper segmetal excision were successfully performed on an one-step approach by using mediastinotomy and anterolateral thoracotomy.A 64-year-old male was pointed out to have abnormal shadows in the both upper lung fields on a chest X-ray film and visited our hospital. By TBLB a tumor of the left upper lobe was diagnosed as adenocarcinoma. Mediastinotomy was performed, perioperative biopsy indicating that a tumor of the right upper lobe was squamous cell carcinoma. Hence right upper lobectomy and left upper segmental excision were performed on an one-step approach.Such one step surgical approach appears valuable for patients presenting favorable general condition with residual respiratory function. Moreover, mediastinotomy offers less pain, preserve the respiratory muscle, and maintain the pulmonary function, in that it can be recommended for selected patients in terms of radical treatment of lung cancer.
日本臨床外科学会の論文