Right Lower Lobe Superior Segmentectomy for Metastatic Colorectal Cancer

This video presents the case of a 52-year-old woman who underwent resection and consolidation chemotherapy for rectal cancer after neoadjuvant treatment in 2008. She presented five years later with a new 1.8 cm right lower lobe metabolically active nodule (SUV max 6.6) in the superior segment. The patient was never a smoker and had normal pulmonary function tests (FEV1 105%, DLCO 100% of predicted). In the absence of local recurrence in the rectum and elsewhere, a thoracoscopic superior segmentectomy of the right lower lobe was recommended for diagnostic and therapeutic purposes. The patient had an uneventful surgery and was discharged home on the second postoperative day. Pathology revealed an adenocarcinoma consistent with colorectal origin. The lymph nodes and margins were negative for malignancy. The patient remains disease-free two years after her lung resection.