{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T15:46:15Z","timestamp":1789832775035,"version":"4.0.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T00:00:00Z","timestamp":1626739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100013099","name":"Scientific Research Fund of Liaoning Provincial Education Department","doi-asserted-by":"publisher","award":["ZF2019024"],"award-info":[{"award-number":["ZF2019024"]}],"id":[{"id":"10.13039\/501100013099","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012131","name":"Department of Science and Technology of Liaoning Province","doi-asserted-by":"publisher","award":["2020JH2\/10300060"],"award-info":[{"award-number":["2020JH2\/10300060"]}],"id":[{"id":"10.13039\/501100012131","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Situs inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS<jats:sup>1<\/jats:sup>). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS<jats:sup>1<\/jats:sup> and a partial excision to the left middle lobe with bronchiectasis through a single 3\u00a0cm length incision. We believe that the case can give surgeons some experience and inspiration.<\/jats:p>","DOI":"10.1007\/s11748-021-01685-3","type":"journal-article","created":{"date-parts":[[2021,7,20]],"date-time":"2021-07-20T07:03:26Z","timestamp":1626764606000},"page":"1432-1437","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Anatomical variants of pulmonary segments and uni-portal thoracoscopic segmentectomy for lung cancer in a patient with Kartagener syndrome: a case report"],"prefix":"10.1007","volume":"69","author":[{"given":"Di","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueying","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,20]]},"reference":[{"key":"1685_CR1","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.jclinane.2018.10.047","volume":"54","author":"C Liu","year":"2019","unstructured":"Liu C, Huang Y, Yeh P. Three-dimensional printing technology: an aid for preoperative airway evaluation in patient with situs inversus totalis. J Clin Anesth. 2019;54:55\u20136.","journal-title":"J Clin Anesth"},{"issue":"4","key":"1685_CR2","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1002\/ca.20125","volume":"19","author":"D Subotich","year":"2006","unstructured":"Subotich D, Mandarich D, Katchar V, Bulajich B, Drndarski B. Lung resection for primary bronchial carcinoma in a patient with complete situs inversus. Clin Anatomy (N Y, NY). 2006;19(4):358\u201362.","journal-title":"Clin Anatomy (N Y, NY)"},{"issue":"2","key":"1685_CR3","first-page":"200","volume":"77","author":"M Bielewicz","year":"2009","unstructured":"Bielewicz M, Wojty\u015b M, Witkowska D, Alchimowicz J, W\u00f3jcik J, Grodzki T. Non-small cell lung cancer in patient with visceral total inversion. Pneumonol Alergol Pol. 2009;77(2):200\u20134.","journal-title":"Pneumonol Alergol Pol"},{"issue":"3","key":"1685_CR4","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/s11748-012-0114-3","volume":"61","author":"M Yoshida","year":"2013","unstructured":"Yoshida M, Hino H, Machida H, Hatakeyama N, Okano Y, Iwahara Y, et al. Video-assisted thoracic surgery lobectomy for lung cancer in a patient with complete situs inversus. Gen Thorac Cardiovasc Surg. 2013;61(3):155\u20139.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"6","key":"1685_CR5","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1007\/s11748-015-0531-1","volume":"63","author":"T Nagashima","year":"2015","unstructured":"Nagashima T, Shimizu K, Ohtaki Y, Obayashi K, Kakegawa S, Nakazawa S, et al. An analysis of variations in the bronchovascular pattern of the right upper lobe using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg. 2015;63(6):354\u201360.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"10","key":"1685_CR6","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1007\/s11748-016-0686-4","volume":"64","author":"K Shimizu","year":"2016","unstructured":"Shimizu K, Nagashima T, Ohtaki Y, Obayashi K, Nakazawa S, Kamiyoshihara M, et al. Analysis of the variation pattern in right upper pulmonary veins and establishment of simplified vein models for anatomical segmentectomy. Gen Thorac Cardiovasc Surg. 2016;64(10):604\u201311.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"5","key":"1685_CR7","doi-asserted-by":"publisher","first-page":"E383","DOI":"10.21037\/jtd.2018.04.97","volume":"10","author":"D Gonzalez-Rivas","year":"2018","unstructured":"Gonzalez-Rivas D, Soultanis K, Zheng H, Zhu Y. Situs inversus uniportal video-assisted thoracoscopic right anatomic segmentectomy S1\u2013S2 and S6. J Thorac Dis. 2018;10(5):E383\u20136.","journal-title":"J Thorac Dis"},{"issue":"2","key":"1685_CR8","first-page":"21","volume":"36","author":"Y Inoue","year":"2011","unstructured":"Inoue Y, Suga A, Sekido Y, Yamada S, Iwazaki M. A case of surgically resected lung cancer in a patient with Kartagener\u2019s syndrome. Tokai J Exp Clin Med. 2011;36(2):21\u20134.","journal-title":"Tokai J Exp Clin Med"},{"issue":"3","key":"1685_CR9","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1016\/j.chest.2017.10.038","volume":"153","author":"A D'Andrilli","year":"2018","unstructured":"D\u2019Andrilli A, Rendina EA. POINT: should segmentectomy rather than lobectomy be the operation of choice for early-stage non-small cell lung cancer? Yes Chest. 2018;153(3):590\u20132.","journal-title":"Yes Chest"},{"key":"1685_CR10","doi-asserted-by":"crossref","unstructured":"Ghaly G, Kamel M, Nasar A, Paul S, Lee PC, Port JL, et al. Video-assisted thoracoscopic surgery is a safe and effective alternative to thoracotomy for anatomical segmentectomy in patients with clinical stage I non-small cell lung cancer. Ann Thorac Surg. 2016;101(2):465\u201372 (discussion 72).","DOI":"10.1016\/j.athoracsur.2015.06.112"},{"key":"1685_CR11","doi-asserted-by":"publisher","first-page":"88","DOI":"10.21037\/jovs.2017.05.10","volume":"3","author":"K Shimizu","year":"2017","unstructured":"Shimizu K, Nakazawa S, Nagashima T, Kuwano H, Mogi A. 3D-CT anatomy for VATS segmentectomy. J Visual Surg. 2017;3:88.","journal-title":"J Visual Surg"}],"container-title":["General Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-021-01685-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11748-021-01685-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-021-01685-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T21:54:50Z","timestamp":1630706090000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11748-021-01685-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,20]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["1685"],"URL":"https:\/\/doi.org\/10.1007\/s11748-021-01685-3","relation":{},"ISSN":["1863-6705","1863-6713"],"issn-type":[{"value":"1863-6705","type":"print"},{"value":"1863-6713","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,20]]},"assertion":[{"value":"27 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}