Dividing the Procedures into Lobectomy and Vertebrectomy for Large Lung Cancer Invading the Spine.

Surgical treatment for lung cancer invading the spine remains challenging. Total vertebrectomy may be difficult by posterolateral thoracotomy alone, so a posterior midline incision may additionally be required. We performed by dividing the procedures into lobectomy and total vertebrectomy because en bloc resection was considered difficult due to the large volume of the lesions in the lung, chest wall, and vertebrae. Prior to the right upper lobectomy, we confirmed that the right upper lobe was interrupted temporarily and there was no congestion of residual lesion. The clamping technique is considered important in dividing the procedures into lobectomy and vertebrectomy.