RESUMEN
We are performing preoperative percutaneous computed tomography (CT)-guided placement of hook-wires to localize small lesions on the day before thoracoscopic surgery. We report a case of collapse of the contra-lateral lung after CT-guided marking. A 69-year-old man was referred to our department for surgical intervention of multiple small lung tumors in the right upper lobe. At the age of 66, he underwent esophagectomy for esophageal cancer. CT-guided marking was undergone for both tumors on the day before surgery. After marking, collapse of the contra-lateral (left) lung was occurred. Left chest tube was placed in order to maintain adequate ventilation during the operation. Operative findings revealed that sealing test after resections of the lung could not be performed because the fistel to the left chest cavity at the inferior mediastinum after esophagectomy was detected.
Asunto(s)
Neoplasias Esofágicas/patología , Neoplasias Pulmonares/secundario , Pulmón/diagnóstico por imagen , Choque/etiología , Tomografía Computarizada por Rayos X , Anciano , Neoplasias Esofágicas/cirugía , Esofagectomía , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/cirugía , Masculino , Neumonectomía , Cirugía Torácica Asistida por VideoRESUMEN
Schwannomas of the left recurrent nerve are rare and there is no agreement on how to manage them without causing recurrent nerve dysfunction. We present a 63-year-old male with unspecific clinical symptoms in whom a middle mediastinal mass with a diameter of 5 cm was found incidentally. At thoracoscopic surgery,we found that the encapsulated tumor originated from left recurrent nerve and we performed tumor enucleation without sacrificing the recurrent nerve. The patient did experience postoperative hoarseness and vocal cord paralysis even though we preserved the recurrent nerve. To our knowledge, thoracoscopic removal of a left recurrent nerve schwannoma has not been reported in the literature before.