ArticleInterdisciplinary cardiovascular and thoracic surgery2026
Thoracoscopic Right Lower Lobectomy With Right Top Pulmonary Vein: Safe Subcarinal Lymph Node Dissection.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectivesThe right top pulmonary vein (RTPV) is a rare venous anomaly arising from the posterior segmental vein, which runs dorsal to the bronchus intermedius. This anatomy increases the risk of vascular injury during right lower lobectomy, particularly during subcarinal lymph node dissection and fissure division.
methodsWe describe thoracoscopic right lower lobectomy with subcarinal lymph node dissection in a patient with RTPV. Key techniques include circumferential dissection of the RTPV and a fissure-last technique.
resultsThis approach enabled safe preservation of the anomalous vein and adequate exposure of the subcarinal space for complete lymph node dissection.
conclusionsThis case highlights practical strategies for preserving anomalous veins and enabling safe subcarinal lymph node dissection, contributing to reproducible thoracoscopic surgery.
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