Background: Resection of lung cancer with chest wall involvement is an invasive procedure.
Case presentation: We report a case of pulmonary adenocarcinoma with chest wall involvement that was resected through video-assisted thoracoscopic segmentectomy and combined en bloc resection of the chest wall (2nd to 4th ribs). Surgical stress was decreased by reducing the extent of lung parenchymal resection and applying a video-assisted technique with an additional posterior paravertebral incision.
Conclusion: A thoracoscopic surgical approach involving incisions in areas requiring resection of the proximal, lateral, and posterior sides of the involved ribs can be applied to tumors invading the chest wall.
Keywords: Chest wall; Lung cancer; Segmentectomy; Video-assisted thoracoscopic surgery.
© 2022. The Author(s).