VATS Left Upper Trisegmentectomy and Superior Lower Lobe Segmentectomy

A female patient was referred to the authors’ institution for ground glass lesions in the left upper lobe and superior segment of the lower lobe. The lesions were not responsive to antibiotic therapy and exhibited interval growth. Positron emission tomography showed an FDG uptake of 2.3 in the left upper lobe. A three-port VATS left upper trisegmentectomy and superior lower lobe segmentectomy were performed. Two branches of the PA were closed and divided with a harmonic scalpel. Histological analysis showed a 0.8 cm mixed adenocarcinoma, with lepidic (70%) and acinar (30%) patterns in the upper lobe. There was no evidence of neoplasia in the lower lobe.