Case Report Video-Assisted Thoracoscopic Surgery for Non-Small Cell Lung Cancer in Patients on Hemodialysis Tadashi Akiba, MD,1 Hideki Marushima, MD,1 Miwako Hiramatsu, MD,2 Hideki Matsudaira, MD,2 Kozo Nakanishi, MD,2 Hiroshi Takeyama, MD,2 Susumu Kobayashi, MD,1 and Toshiaki Morikawa, MD2 There have been a few reports of pulmonary resection for lung cancer in patients on hemodialysis (HD), but no reports of video-assisted thoracoscopic surgery (VATS) in these patients have been submitted. We describe two patients on HD undergoing thoracoscopic resection for lung cancer. For the thoracoscopic operation, anatomies of the patients were confirmed by three-dimensional multidetector computed tomography (3D-MDCT). The first patient underwent a right lower lobectomy thoracoscopically, and the second patient underwent a resection of the superior segment of the right lower lobe thoracoscopically. They were discharged on postoperative days 10 and 4, respectively. A review of the literature reveals that morbidity and mortality for pulmonary resection on HD are 74% and 11%, respectively. Thoracoscopic operations for lung cancer patients on HD may minimize the operative invasiveness. Preoperative 3D-MDCT angiography was useful because it supports understanding of the patient’s personal anatomy for VATS. (Ann Thorac Cardiovasc Surg 2010; 16: 40-44) Key words: hemodialysis, non-small cell lung cancer, video-assisted thoracoscopic surgery, three-dimensional computed tomography 1Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa; and 2Divisions of General Thoracic Surgery, Breast and Endocrine Surgery, Jikei University Hospital, Tokyo, Japan Received July 2, 2008; accepted for publication January 27, 2009. Address reprint requests to Tadashi Akiba, MD: Department of Surgery, Jikei University Kashiwa Hospital, 163–1 Kashiwashita, Kashiwa, Chiba 277–8567, Japan.

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