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Case Reports
. 2023 Apr;14(12):1098-1101.
doi: 10.1111/1759-7714.14833. Epub 2023 Mar 16.

An optimal thoracoscopic segmentectomy approach: Combined ultra-high-definition 4K endovision systems with "no-waiting" technique in S8-9 complex segmentectomy

Mingqiang Liang  1   2 , Liang Wang  3 , Jiabin Gao  3 , Zhiliang Duan  3 , Jinhai Xu  3 , Yifang Wang  3 , Shixin Li  3 , Bowen Wang  3 , Chun Chen  1   2
Affiliations
Case Reports

An optimal thoracoscopic segmentectomy approach: Combined ultra-high-definition 4K endovision systems with "no-waiting" technique in S8-9 complex segmentectomy

Mingqiang Liang et al. Thorac Cancer. 2023 Apr.

Abstract

Thoracoscopic segmentectomy might be an alternative to lobectomy for small size lung cancer. Precise identification of the pulmonary intersegmental plane was needed for an optimal segmentectomy. Recently, (1) the ultra-high-definition 4K systems had claimed to overcome the lack of depth perception by secondary visual cues; (2) the no-waiting procedure was induced as an alternative and optimized method for identifying the plane. It was unclear whether combined ultra-high-definition 4K endovision systems with "no-waiting" technique in thoracoscopic segmentectomy could achieve an excellent result. A 68-year-old female patient was admitted into our hospital for occasional pulmonary nodule during her routine physical examination. The nodule is located between S8 and S9 segment, and was suspected to be an early-stage lung cancer. She underwent a thoracoscopic S89 complex segmentectomy using ultra-high-definition 4K endovision systems and "no-waiting" surgical technique. The intersegmental plane was clearly detected and easily treated by the endoscopic linear cutting staplers. The patient recovered well and was discharged without complications. Combining ultra-high-definition 4K endovision systems with "no-waiting" technique seems to be an optimal thoracoscopic segmentectomy approach for the management of lung cancers.

Keywords: 4K endovision systems; case report; pulmonary nodules; segmentectomy; “no-waiting” technique.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

FIGURE 1
FIGURE 1
A complex anterior‐lateral basal segmentectomy. (a) The computed tomography (CT) showed a small nodule located between S8 and S9 segment, and was suspected to be an early‐stage lung cancer. (b) The ultra–high‐definition 4K systems were applied in the surgery. (c) The intersegmental plane between S9 and S10 was clearly detected in the Mindray 4K device. (d) The final surgical field after the S8–S9 pulmonary tissues were removed
See this image and copyright information in PMC

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