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1 Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan. shinyatane@gmail.com.
2 Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan.
3 Department of General Thoracic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
4 Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan.
1 Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan. shinyatane@gmail.com.
2 Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan.
3 Department of General Thoracic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
4 Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan.
The left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1 + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be performed anteriorly. Given that the fissureless technique is commonly used in uniportal video-assisted thoracoscopic surgery, S1 + 2 segmentectomy exhibits high affinity with the unidirectional approach. We have frequently performed left S1 + 2 segmentectomy for early non-small cell lung cancer located in the apical segment, since this procedure has the potential to preserve pulmonary function over tri-segmentectomy. Herein, we introduce our approach to uniportal left S1 + 2 segmentectomy as a minimally invasive alternative for preserving lung function.
Paradela de la Morena M, De La Torre BM, Fernandez Prado R, Minasyan A, Garcia-Perez A, Fernandez-Vago L, et al. Standardized surgical technique for uniportal video-assisted thoracoscopic lobectomy. Eur J Cardiothorac Surg. 2020;58:i23-33.
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Matsuura N, Igai H, Ohsawa F, Yazawa T, Kamiyoshihara M. Uniport vs multiport video-assisted thoracoscopic surgery for anatomical lung resection-which is less invasive? J Thorac Dis. 2021;13:244–51.
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Saji H, Okada M, Tsuboi M, Nakajima R, Suzuki K, Aokage K, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399:1607–17.
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Tane S, Nishio W, Fujibayashi Y, Nishikubo M, Nishioka Y, Ogawa H, et al. Thoracoscopic left S1 + 2 segmentectomy as a good resolution for preserving pulmonary function. Interact Cardiovasc Thorac Surg. 2020;31:331–8.
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Igai H, Furusawa S, Ohsawa F, Yazawa T, Matsuura N, Kamiyoshihara M. Application of ‘suction-guided stapling’ during uniportal thoracoscopic major lung resection. Gen Thorac Cardiovasc Surg. 2022;70:204–5.
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