Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report
Abstract Background We experienced a case of early stage lung cancer involving a morbidly obese patient. Obesity is associated with a higher incidence of surgical complications. We examined the effectiveness of laparoscopic sleeve gastrectomy as a primary weight loss procedure in a morbidly obese pa...
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| Language: | English |
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Japan Surgical Society
2020-07-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00950-6 |
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| author | Shingo Iwata Akeo Hagiwara Yutaka Harima |
| author_facet | Shingo Iwata Akeo Hagiwara Yutaka Harima |
| author_sort | Shingo Iwata |
| collection | DOAJ |
| description | Abstract Background We experienced a case of early stage lung cancer involving a morbidly obese patient. Obesity is associated with a higher incidence of surgical complications. We examined the effectiveness of laparoscopic sleeve gastrectomy as a primary weight loss procedure in a morbidly obese patient who required oncological surgery. Case presentation A 64-year-old morbidly obese female with a body mass index of 43.5 kg/m2 was referred to our hospital to undergo weight loss. A right-sided lung mass was found incidentally on computed tomography conducted in preparation for laparoscopic sleeve gastrectomy, which was performed prior to tumor surgery. As a result, weight loss was achieved within 2.5 months after the laparoscopic sleeve gastrectomy, and the patient’s type-2 diabetes, hypertension, and dyslipidemia, which are linked to obesity, were markedly ameliorated. After a quick intraoperative pathological inspection revealed that the tumor was malignant, thoracoscopic right lung superior lobe resection was performed safely. Conclusions Laparoscopic sleeve gastrectomy proved to be a powerful approach in a case in which a morbidly obese patient with early stage cancer needed to lose weight rapidly. |
| format | Article |
| id | doaj-art-81c76e574bfc4b26beab9d12cf0f69cd |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-81c76e574bfc4b26beab9d12cf0f69cd2025-08-20T02:52:17ZengJapan Surgical SocietySurgical Case Reports2198-77932020-07-01611610.1186/s40792-020-00950-6Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case reportShingo Iwata0Akeo Hagiwara1Yutaka Harima2Department of Surgery, Takeda General HospitalFaculty of Life and Medical Sciences, Doshisha UniversityDepartment of Surgery, Takeda General HospitalAbstract Background We experienced a case of early stage lung cancer involving a morbidly obese patient. Obesity is associated with a higher incidence of surgical complications. We examined the effectiveness of laparoscopic sleeve gastrectomy as a primary weight loss procedure in a morbidly obese patient who required oncological surgery. Case presentation A 64-year-old morbidly obese female with a body mass index of 43.5 kg/m2 was referred to our hospital to undergo weight loss. A right-sided lung mass was found incidentally on computed tomography conducted in preparation for laparoscopic sleeve gastrectomy, which was performed prior to tumor surgery. As a result, weight loss was achieved within 2.5 months after the laparoscopic sleeve gastrectomy, and the patient’s type-2 diabetes, hypertension, and dyslipidemia, which are linked to obesity, were markedly ameliorated. After a quick intraoperative pathological inspection revealed that the tumor was malignant, thoracoscopic right lung superior lobe resection was performed safely. Conclusions Laparoscopic sleeve gastrectomy proved to be a powerful approach in a case in which a morbidly obese patient with early stage cancer needed to lose weight rapidly.http://link.springer.com/article/10.1186/s40792-020-00950-6Morbid obesityWeight reduction before surgeryLaparoscopic sleeve gastrectomyBariatric surgeryLung cancer |
| spellingShingle | Shingo Iwata Akeo Hagiwara Yutaka Harima Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report Surgical Case Reports Morbid obesity Weight reduction before surgery Laparoscopic sleeve gastrectomy Bariatric surgery Lung cancer |
| title | Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report |
| title_full | Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report |
| title_fullStr | Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report |
| title_full_unstemmed | Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report |
| title_short | Thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy: a case report |
| title_sort | thoracoscopic radical surgery for a morbidly obese patient with early lung cancer after laparoscopic sleeve gastrectomy a case report |
| topic | Morbid obesity Weight reduction before surgery Laparoscopic sleeve gastrectomy Bariatric surgery Lung cancer |
| url | http://link.springer.com/article/10.1186/s40792-020-00950-6 |
| work_keys_str_mv | AT shingoiwata thoracoscopicradicalsurgeryforamorbidlyobesepatientwithearlylungcancerafterlaparoscopicsleevegastrectomyacasereport AT akeohagiwara thoracoscopicradicalsurgeryforamorbidlyobesepatientwithearlylungcancerafterlaparoscopicsleevegastrectomyacasereport AT yutakaharima thoracoscopicradicalsurgeryforamorbidlyobesepatientwithearlylungcancerafterlaparoscopicsleevegastrectomyacasereport |