{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:25:07Z","timestamp":1772166307133,"version":"3.50.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T00:00:00Z","timestamp":1710806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A right-sided aortic arch is a rare congenital vascular structure variation. Right lobectomy is not commonly performed on patients with such a condition. Further, there are no reports on lobectomy under uniportal video-assisted thoracoscopic surgery (VATS) in this patient group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 67-year-old man with a right-sided aortic arch and Kommerell diverticulum underwent right upper lobectomy with mediastinal lymph node dissection under uniportal VATS for primary lung cancer. Due to the right descending aorta, which narrows the space of the dorsal hilum, handling of the stapler for stapling the right upper lobe bronchus from the uniport in the 6th intercostal space at the medial axillary line can be challenging. This issue was resolved by manipulating the staple over the azygos vein toward the inferior margin of the aortic arch. Via mediastinal lymphadenectomy, we found that the right recurrent laryngeal nerve branched from the right vagus nerve and hooked around the right-sided aortic arch.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Right lobectomy with mediastinal lymph node dissection under uniportal VATS can be performed for lung cancer in patients with a right-sided aortic arch.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-024-02627-9","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T02:51:21Z","timestamp":1710816681000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Right upper lobectomy with mediastinal dissection under uniportal video-assisted thoracoscopic surgery for lung cancer in a patient with a right-sided aortic arch: a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Hidenori","family":"Goto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kozo","family":"Nakanishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"2627_CR1","doi-asserted-by":"publisher","first-page":"377","DOI":"10.2214\/ajr.97.2.377","volume":"97","author":"JR Stewart","year":"1966","unstructured":"Stewart JR, Kincaid OW, Titus JL. Right aortic arch: plain film diagnosis and significance. Am J Roentgenol. 1966;97:377\u201389.","journal-title":"Am J Roentgenol"},{"key":"2627_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12957-018-1477-4","volume":"16","author":"C Huang","year":"2018","unstructured":"Huang C, Xu X, Chen Q, Lin S. Video-assisted thoracoscopic right upper lobectomy in a patient with a right-sided aortic arch and kommerell diverticulum. World J Surg Oncol. 2018;16:1\u20134.","journal-title":"World J Surg Oncol"},{"key":"2627_CR3","volume-title":"An atlas of vascular rings and related malformations of the aortic arch system","author":"JR Stewart","year":"1964","unstructured":"Stewart JR, Kinkaid OW, Edwards JE. In: Thomas CC, editor. An atlas of vascular rings and related malformations of the aortic arch system. Illinois: Springfield; 1964."},{"key":"2627_CR4","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1510\/icvts.2010.256222","volume":"12","author":"D Gonzalez-Rivas","year":"2011","unstructured":"Gonzalez-Rivas D, Paradela M, Garcia J, Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact CardioVasc Thorac. 2011;12:514\u20135.","journal-title":"Interact CardioVasc Thorac"},{"key":"2627_CR5","first-page":"146","volume":"19","author":"D Coco","year":"2022","unstructured":"Coco D. Silvana Leanza. Current perspective on uniportal and multiportal video-assisted thoracic surgery during lobectomy for lung cancer. Kardiochirurgia i Torakochirurgia Polska. 2022;19:146\u201351.","journal-title":"Kardiochirurgia i Torakochirurgia Polska"},{"key":"2627_CR6","first-page":"3013","volume":"15","author":"J Zhang","year":"2023","unstructured":"Zhang J, Liu Y. Efficacy of single- and double-hole thoracoscopic lobectomy for treatment of non-small cell lung cancer: a meta-analysis. Am J Transl Res. 2023;15:3013\u201325.","journal-title":"Am J Transl Res"},{"key":"2627_CR7","unstructured":"Matsubara H, Ueda M, Okumura S, Nishi M. Cervical and superior mediastinum dissection for thoracic esophageal cancer preceded by neck and abdominal dissection. [Translated from Japanese.]. Operation. 1992;6:645\u2009\u2013\u200954."},{"key":"2627_CR8","doi-asserted-by":"publisher","first-page":"59","DOI":"10.2995\/jacsurg.22.059","volume":"22","author":"N Kozo","year":"2008","unstructured":"Kozo N. Two surgical cases of right squamous cell lung cancer in volving the right aortic arch. Jpn J Chest Surg. 2008;22:59\u201363.","journal-title":"Jpn J Chest Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02627-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02627-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02627-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T02:54:30Z","timestamp":1710816870000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02627-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,19]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2627"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02627-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3353969\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,19]]},"assertion":[{"value":"14 September 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of the case report and accompanying images.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"136"}}