Three-dimensional imaging for thoracoscopic resection of complex lung anomalies

Abstract Background Building surgical strategies for complex lung anomalies such as congenital pulmonary venolobar syndrome is difficult because of their rarity and variance. Using three-dimensional computed tomography (3D–CT), we can determine strategies safely. We describe a 27-year-old man with m...

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Main Authors: Yuhei Yokoyama, Masaaki Sato, Mitsugu Omasa, Hiroshi Date
Format: Article
Language:English
Published: Japan Surgical Society 2017-09-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-017-0383-2
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author Yuhei Yokoyama
Masaaki Sato
Mitsugu Omasa
Hiroshi Date
author_facet Yuhei Yokoyama
Masaaki Sato
Mitsugu Omasa
Hiroshi Date
author_sort Yuhei Yokoyama
collection DOAJ
description Abstract Background Building surgical strategies for complex lung anomalies such as congenital pulmonary venolobar syndrome is difficult because of their rarity and variance. Using three-dimensional computed tomography (3D–CT), we can determine strategies safely. We describe a 27-year-old man with multifocal pulmonary malformations who underwent video-assisted thoracoscopic surgery (VATS) using 3D–CT. Case presentation A 27-year-old man presented with hemoptysis associated with complex pulmonary malformations, including a triple-arched vein connecting the superior and inferior pulmonary veins with partial drainage into the inferior vena cava, a systemic and numerous arterial supply to the right lower lobe from the abdominal aorta, abnormal lobulation, and a tracheal bronchus in the right lung. Preoperative simulation using 3D–CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of semi-emergent middle and lower bilobectomy via minimally invasive VATS. Conclusions Preoperative simulation using 3D–CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of surgery even in a complex case.
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spelling doaj-art-ae9f237b0cc649e6a5c1b91a7a07cb8c2025-08-20T03:58:50ZengJapan Surgical SocietySurgical Case Reports2198-77932017-09-01311310.1186/s40792-017-0383-2Three-dimensional imaging for thoracoscopic resection of complex lung anomaliesYuhei Yokoyama0Masaaki Sato1Mitsugu Omasa2Hiroshi Date3Department of Thoracic Surgery, Kyoto UniversityDepartment of Thoracic Surgery, Kyoto UniversityDepartment of Thoracic Surgery, Kyoto UniversityDepartment of Thoracic Surgery, Kyoto UniversityAbstract Background Building surgical strategies for complex lung anomalies such as congenital pulmonary venolobar syndrome is difficult because of their rarity and variance. Using three-dimensional computed tomography (3D–CT), we can determine strategies safely. We describe a 27-year-old man with multifocal pulmonary malformations who underwent video-assisted thoracoscopic surgery (VATS) using 3D–CT. Case presentation A 27-year-old man presented with hemoptysis associated with complex pulmonary malformations, including a triple-arched vein connecting the superior and inferior pulmonary veins with partial drainage into the inferior vena cava, a systemic and numerous arterial supply to the right lower lobe from the abdominal aorta, abnormal lobulation, and a tracheal bronchus in the right lung. Preoperative simulation using 3D–CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of semi-emergent middle and lower bilobectomy via minimally invasive VATS. Conclusions Preoperative simulation using 3D–CT helped to determine the optimal surgical strategy, allowing for successful and safe completion of surgery even in a complex case.http://link.springer.com/article/10.1186/s40792-017-0383-2Thoracic surgeryCongenital lung diseaseThree-dimensional computed tomography
spellingShingle Yuhei Yokoyama
Masaaki Sato
Mitsugu Omasa
Hiroshi Date
Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
Surgical Case Reports
Thoracic surgery
Congenital lung disease
Three-dimensional computed tomography
title Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
title_full Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
title_fullStr Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
title_full_unstemmed Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
title_short Three-dimensional imaging for thoracoscopic resection of complex lung anomalies
title_sort three dimensional imaging for thoracoscopic resection of complex lung anomalies
topic Thoracic surgery
Congenital lung disease
Three-dimensional computed tomography
url http://link.springer.com/article/10.1186/s40792-017-0383-2
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AT masaakisato threedimensionalimagingforthoracoscopicresectionofcomplexlunganomalies
AT mitsuguomasa threedimensionalimagingforthoracoscopicresectionofcomplexlunganomalies
AT hiroshidate threedimensionalimagingforthoracoscopicresectionofcomplexlunganomalies