Minimally invasive lobectomy: The First Affiliated Hospital of Chongqing Medical University experience

A 52-year-old male presented with a history of cough without sputum for one week on admission. An enhanced computed tomography (CT) scan of the chest demonstrated a large mass in the right upper lung lobe in length by 4×5 cm. He then had a fiberoptic bronchoscopy that demonstrated left main bronchial stenosis but no abnormality in the other bronchus. Cancer cells were not found in the branchofiberscope biopsy and lavage fluid. On July 24th, 2017, an ultrasound-guided bronchoscopy with a transbronchial needle aspiration biopsy (EBUS-TBNA) did not find any cancer cells. ECT, abdominal color doppler flow imaging and plain cranial CT scan all demonstrated normal. He was staged as at least a clinical T3Nx lesion. We proceeded onto surgical resection and intraoperative frozen diagnosis