A VATS LOBECTOMY FOR LUNG-CANCER IN A PATIENT WITH AN ANOMALOUS PULMONARY VEIN - REPORT OF A CASE

A video-assisted right upper lobectomy was successfully performed on a 58-year-old man with an anomalous segmental pulmonary vein. The tumor was a peripherally located adenocarcinoma. The anomalous vein behind the right main bronchus was identified and safely divided. This case e mphasized that to perform this procedure successfully, (1) a careful p reoperative evaluation of the anatomy, including the presence of any p ossible vascular and/or bronchial anomalies, is necessary, and (2) if any anatomical structures cannot be determined intraoperatively, a con version into an open procedure must immediately be undertaken.