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Atlas of Uniportal Video Assisted Thoracic Surgery pp 213–222Cite as

Uniportal VATS Chest Wall and Diaphragm Resection and Reconstruction

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Abstract

Lung cancer is one of the leading causes of death around the world. Only a small percentage (5%) of cases of pulmonary tumors that are subjected to resection is needed to be removed en bloc with a part from the chest wall due to its involvement by the tumor. These patients are divided into two groups for historical and anatomical reasons, tumors involving and/or superior to the second rib (Pancoast), and tumors located inferior to the second rib. The issue of post-thoracotomy pain is increased after chest wall resection, especially after resections involving the paravertebral area, en bloc resection of the chest wall together with the lobe is the procedure of choice to achieve complete resection in lung cancer invading the chest wall relying on most of the series advocated that [1–3]. Surgical treatment of non-small cell lung cancer (NSCLC) invading the chest wall by extrapleural or “en bloc” resection is widely adopted and justified by the good results, in terms of morbidity and relief of pain. Survival always depends on the nodal status.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic surgery, Makassed Charitable Society Hospital, East Jerusalem, Israel

    Firas Abu Akar

  2. Department of Cardiothoracic Surgery, Shaare Zedek Medical Center (SZMC), Jerusalem, Israel

    Firas Abu Akar

  3. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China

    Diego Gonzalez-Rivas

  4. Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain

    Diego Gonzalez-Rivas

Authors
  1. Firas Abu Akar
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  2. Diego Gonzalez-Rivas
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Corresponding author

Correspondence to Diego Gonzalez-Rivas .

Editor information

Editors and Affiliations

  1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China

    Diego Gonzalez-Rivas

  2. Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China

    Calvin Sze Hang Ng

  3. Service of Thoracic Surgery, Department of Surgery Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Gaetano Rocco

  4. Gary Hock Endowed Professor of Surgery, Duke University Medical Center, Durham, NC, USA

    Thomas A. D’Amico

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Akar, F.A., Gonzalez-Rivas, D. (2019). Uniportal VATS Chest Wall and Diaphragm Resection and Reconstruction. In: Gonzalez-Rivas, D., Ng, C., Rocco, G., D’Amico, T. (eds) Atlas of Uniportal Video Assisted Thoracic Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-2604-2_32

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  • DOI: https://doi.org/10.1007/978-981-13-2604-2_32

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  • Publisher Name: Springer, Singapore

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  • Online ISBN: 978-981-13-2604-2

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