Video-assisted thoracoscopic left S8 segmentectomy guided by pre-operative 3D reconstruction in a patient with synchronous bilateral primary lung cancer: a case report

Background: Future adoption of segmentectomy for lung cancer will likely increase with two recent randomized control trials demonstrating its oncological efficacy compared to lobectomy. It has also been used to great effect in patients with bilateral primary lung cancer to preserve lung parenchyma as these patients require more extensive lung resection compared to patients with a single primary lung cancer. However, segmentectomy, particularly complex ones which involve resection of more than one inter-segmental plane remains a more difficult operation than lobectomy. Here we report a case of synchronous bilateral primary lung cancer successfully treated with thoracoscopic left S8 segmentectomy. This case is unique in terms of utilizing a novel cloud-based platform that allows the 3D reconstruction to be easily accessible anywhere with an Internet-connected device.