The Chinese Perspective: Resection of Lingual Segment of Left Upper Lung

1. Welcome and Introduction - Dr. Marco Scarci (United Kingdom)

1. Case Introduction - Dr. Wei Jiang (China)

1. Resection of Lingual Segment of Left Upper Lung. Part 1: Separate Segmental Hilum of Lung - Dr. Wei Jiang (China)

1. Key Decision 1 Question - Dr. Scott J. Swanson (USA) and Dr. Wei Jiang (China)

1. Resection of Lingual Segment of Left Upper Lung. Part 2: Segmentectomy - Dr. Wei Jiang (China)

1. Key Decision 2 Question - Prof. Lorenzo Rosso (Italy) and Dr. Wei Jiang (China)

1. Resection of Lingual Segment of Left Upper Lung. Part 3: Mediastinal Lymphadenectomy  - Dr. Wei Jiang (China)

1. Key Decision 3 Question - Dr. Scott J. Swanson (USA) and Dr. Wei Jiang (China)

1. Resection of Lingual Segment of Left Upper Lung. Part 4: Leakage Test - Dr. Wei Jiang (China)

1. Key Decision 4 Question - Dr. Prof. Lorenzo Rosso (Italy) and Dr. Wei Jiang (China)

2. Panel Discussion - All faculty moderated by Dr. Wei Jiang (China) and Dr. Yaxing Shen (China)

Clinical History:

• A 42-year-old female patient reported a nodule in the left upper lung 2 years ago, and the chest CT scan on 2022-10-25 shows that the nodule has been growing up to 16mm*11mm, and might be malignan

Pathologic findings:

• 1 lymph node of group 5 and 6 was examined. No cancer metastasis was found.

• 2 lymph nodes of group 7 were examined. No cancer metastasis was found.

• 1 lymph node of group 10 was examined. No cancer metastasis was found.

• 2 lymph nodes of group 11 were examined. No cancer metastasis was found.

• 1 lymph nodes of group 12 was examined. No cancer metastasis was found.

• 1 lymph nodes of group 13 was examined. No cancer metastasis was found.

•  (Upper left pulmonary nodules) IAC, grade II, acinar and papillary type.

• The cancer tissue did not involve the visceral pleura and bronchial incisal margin.

• Point mutation in exon 21 of EGFR gene (L858R)

Before

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After

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