Advanced lung cancer patient benefits from minimally invasive costal resection and reconstruction: an effective palliative approach for costal metastasis

J Cardiothorac Surg. 2023 Nov 10;18(1):310. doi: 10.1186/s13019-023-02422-y.

Abstract

We hereby describe the resection and reconstruction of a rib infiltrated by a lung cancer metastasis. Despite prior radiation therapy aimed at mitigating pain from rib infiltration in a stage IV non-small cell lung cancer patient, results were unsatisfactory. Employing a minimally invasive palliative strategy, we executed a successful operation to address this issue. This technique presents a viable alternative for patients experiencing recurrent pain post radiation therapy.

Keywords: Chest wall reconstruction; Minimally invasive; Rib resection; Video-assisted thoracoscopy (VATS).

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / pathology
  • Carcinoma, Non-Small-Cell Lung* / surgery
  • Humans
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / surgery
  • Pain / etiology
  • Pneumonectomy / methods
  • Ribs / surgery
  • Thoracic Surgery, Video-Assisted / methods