with Dr. Marco Scarci, Dr. Michael Zervos, Dr. Lijie Tan, Dr. Jiao Heng, Dr. Ke En Oh
In recent years, China's thoracic surgery technology has developed rapidly, entering the era of minimal invasive precision and committed to promoting the standardization and precision of thoracic surgery. AIS specially invites the leading faculties in the field of thoracic surgery from China, Italy and the United States to share their academic expertise on the Uniportal VATS Right Upper Lobectomy surgery. Focusing on the operation, technical difficulties and innovation, AIS is offering a rich and diversified academic feast in the form of an explanatory operation video, case sharing and interactive discussion through the Telesurgeon Technology. Through a systematic approach, we can further explore surgical skills and learn difficult techniques, continuously improving the technical standards of thoracoscopic lobectomy in the world, so that the vast majority of patients can benefit.
PROGRAM
Clinical Background
Welcome and Introduction – Dr. Ke En Oh (China)
Case Introduction – Dr. Jiao Heng (China)
Right Upper Lobectomy. Part 1: The incision Position – Dr. Tan Lijie (China)
Key Decision 1 Question – Dr. Marco Scarci (Italy) and Dr. Tan Lijie (China)
Right Upper Lobectomy. Part 2: The Anterior Approach – Dr. Tan Lijie (China)
Key Decision 2 Question – Dr. Michael Zervos (USA) and Dr. Tan Lijie (China)
Right Upper Lobectomy. Part 3: Lymph Nodes Dissection (Station 10, 4R, 2R & 7) – Dr. Tan Lijie (China)
Key Decision 3 Question – Dr. Marco Scarci (Italy) and Dr. Tan Lijie (China)
Right Upper Lobectomy. Part 4: Suture of Incision & Fixation of Chest Tube – Dr. Tan Lijie (China)
Key Decision 4 Question – Dr. Michael Zervos (USA) and Dr. Tan Lijie (China)
Discussion and closing remarks – Faculty moderated by Dr. Tan Lijie (China
Technique Description
CASE
Clinical History:
A 41-year-old male patient diagnosed with a lesion in the right upper lobe 3 weeks ago. No signs of Pulmonary Embolism.
Preoperative Examinations:
Pulmonary function:
FEV1:2.21L
FEV1%: 105 of predicted value
EKG:(-)
Abdominal and cervical ultrasound: (-)
CT scan:
a solid lesion in right upper lobe
Size: 2.8X 2.3cm
Lobulation, burr and local traction of adjacent pleura can be seen at the edge
No hilar and mediastinal lymphadenopathy
PET-CT:
A solid lesion in right upper lobe
Size: 2.3X3.0cm;SUVmax: 13.9
Also no hilar and mediastinal lymphadenopathy
Diagnosis and surgical strategy:
Right upper lobe lesion, highly suspicious of NSCLC
cT1cN0M0, stage Ⅰ A3
VATS RUL lobectomy
System lymph node dissection
Pathology:
pT1cN1M0, stage IIB
Invasive adenocarcinoma, grade III, alveolar and papillary(80%), micropapillary(20%)
Station 11s:2/4; 2R:0/7; 4R:0/5; 7:0/4; 10R:0/3;
Mutation of epithelial growth factor receptor (EGFR) exon 21(L858R)
CT scan:
PET-CT:
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