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Case Reports
. 2013 Aug;5 Suppl 3(Suppl 3):S226-33.
doi: 10.3978/j.issn.2072-1439.2013.07.45.

Uniportal video-assisted thoracoscopic anatomic segmentectomy

Diego Gonzalez-Rivas  1 , Lucia Mendez, Maria Delgado, Eva Fieira, Ricardo Fernandez, Mercedes de la Torre
Affiliations
Case Reports

Uniportal video-assisted thoracoscopic anatomic segmentectomy

Diego Gonzalez-Rivas et al. J Thorac Dis. 2013 Aug.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Incision for uniportal VATS segmentectomy.
Figure 2
Figure 2
Surgeons positioned in front of the patient watching the same monitor. The scrub nurse is located on the opposite side.
Figure 3
Figure 3
Uniportal of specific adapted instruments (proximal and distal articulation).
Video 1
Video 1
Bimanual Instrumentation during uniportal VATS segmentectomy.
Figure 4
Figure 4
Single-chest tube placed in the posterior part of the incision.
Video 2
Video 2
Lingulectomy by using endostaplers.
Video 3
Video 3
Lingulectomy by using vascular clips (Click aV).
Figure 5
Figure 5
Dissection of lingular artery exposed in the fissure.
Video 4
Video 4
Lef upper anatomic trisegmentectomy.
Video 5
Video 5
Dissection of upper lobe vein for anterior, apical and posterior segment.
Figure 6
Figure 6
Division of posterior ascending artery during left upper lobe trisegmentectomy by using vascular clips.
Figure 7
Figure 7
Division of segmental bronchus during left upper trisegmentectomy.
Figure 8
Figure 8
Division of segmental artery during right lower lobe superior segmentectomy.
Figure 9
Figure 9
Division of segmental bronchus during left lower lobe superior segmentectomy.
Figure 10
Figure 10
Intersegmental plane stapler division during left lower lobe superior segmentectomy.
Video 6
Video 6
Superior segmentectomy left lower lobe (S6).
Figure 11
Figure 11
Division of basilar artery during right lower lobe basilar segmentectomy (artery exposed in the fissure).
Video 7
Video 7
Division of segmental vein and basilar artery during right lower lobe basilar segmentectomy.
Figure 12
Figure 12
Division of basilar artery during left lower lobe basilar segmentectomy from down to up (fissureless technique).
Figure 13
Figure 13
Division of intersegmental plane during left lower lobe basilar segmentectomy.
Video 8
Video 8
Right upper lobe apical antomic segmentectomy.
Figure 14
Figure 14
Right upper lobe apical segmentectomy. A. Apical artery; B. Apical vein; C. Apical bronchus; D. Intersegmental plane.
Figure 15
Figure 15
Segmentectomy of 7, 8 basal segments left lower lobe. A. Segmental artery; B. Segmental vein; C. Intersegmental plane.
See this image and copyright information in PMC

References

    1. Churchill ED, Belsey R. Segmental pneumonectomy in bronchiectasis: the lingula segment of the left upper lobe. Ann Surg 1939;109:481-99 - PMC - PubMed
    1. Shiraishi T, Shirakusa T, Iwasaki A, et al. Video-assisted thoracoscopic surgery (VATS) segmentectomy for small peripheral lung cancer tumors: intermediate results. Surg Endosc 2004;18:1657-62 - PubMed
    1. Schuchert MJ, Pettiford BL, Keeley S, et al. Anatomic segmentectomy in the treatment of stage I non-small cell lung cancer. Ann Thorac Surg 2007;84:926-32; discussion 932-3 - PubMed
    1. Okumura M, Goto M, Ideguchi K, et al. Factors associated with outcome of segmentectomy for non-small cell lung cancer: long-term follow-up study at a single institution in Japan. Lung Cancer 2007;58:231-7 - PubMed
    1. Okada M, Yoshikawa K, Hatta T, et al. Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller? Ann Thorac Surg 2001;71:956-60; discussion 961 - PubMed

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