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. 2015 Sep 24:1:11.
doi: 10.3978/j.issn.2221-2965.2015.07.06. eCollection 2015.

A 2-cm single-incision thoracoscopic left upper division segmentectomy

Affiliations

A 2-cm single-incision thoracoscopic left upper division segmentectomy

Kook Nam Han et al. J Vis Surg. .

Abstract

Background: A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique.

Methods: From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion.

Results: In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar.

Conclusions: A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.

Keywords: Segmentectomy; minimally invasive thoracic surgery; single-incisional thoracoscopic surgery; video-assisted thoracic surgery (VATS).

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
A 2-cm single-incision thoracoscopic left upper division segmentectomy (13). Available online: http://www.asvide.com/articles/687

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