Lobectomy is routinely performed to treat lung diseases of the right middle lobe (RML), especially if nodules are unresectable by wedge resection [1]. However, reports of RML segmentectomy are rare, probably because anatomical information is limited and because the RML is the smallest lobe. ...
A chest radiograph of an asymptomatic 37-year-old man showed a 3cm nodule in the middle lobe of the right lung. The nodule was excised with a pulmonary wedge resection, and sectioning showed the nodule to be sharply circumscribed with a soft, cheese-like center. Culture of tissue from the...
Therefore, right upper lobectomy with middle lobe preservation was planned. The operation was performed using a totally thoracoscopic approach. Adhesion of the upper lobe to the chest wall was easily detached. As the middle lobe adhered to the chest wall, this served to prevent middle lobe ...
After exclusion of 14 patients who underwent exploratory thoracotomy, patients were a mean age of 61.5 years, most RML resections occurred in men (134 [72.8%]), and most were lobectomies (wedge, n= 4; lobectomy, n= 102; bilobectomy, n= 22; pneumonectomy, n= 56). Pathologic analysis ...