FIRST EXPERIENCE WITH VATS BRONCHOPLASTIC LOBECTOMY

Relevance: Surgical treatment for lung cancer is the primary radical approach in antitumor therapy, utilized as a standalone method and as part of a combined strategy. Radical surgical intervention typically involves anatomical lung resection accompanied by lymph node dissection. Modern oncological surgery increasingly emphasizes organ- and function-preserving procedures that maintain oncological efficacy. Video-assisted thoracoscopic surgery (VATS) presents an alternative to traditional open methods, although it is technically more challenging and generally more expensive. Nonetheless, its advantages – such as reduced postoperative pain, shorter duration of pleural drainage, better preservation of lung function, decreased length of hospital stay, and quicker return to normal activities—continue to motivate the surgical community to adopt minimally invasive techniques. This report highlights the first observation of a VATS lobectomy with bronchoplasty. The study aimed to demonstrate the feasibility of minimally invasive bronchoplastic lobectomy as an alternative to pneumonectomy and traditional thoracotomy lobectomy with bronchoplasty. Methods: This paper details a case of video-assisted thoracoscopic surgery performed on a patient with non-small cell lung cancer (NSCLC), along with the technical specifics of the surgical procedure. Results: The article presents short-term outcomes of the VATS bronchoplastic lobectomy, showcasing the effectiveness of this surgical approach. Conclusion: For the first time in Kazakhstan, we successfully performed a thoracoscopic bronchoplastic lobectomy. Based on our experience and insights from international colleagues, we believe this intervention is safe and effective for patients with centrally located lung tumors.