Surgical Technique


Our novel procedure for thoracoscopic anatomical segmentectomy

Jun Suzuki, Hiroyuki Oizumi, Hirohisa Kato, Makoto Endoh, Akira Hamada, Hikaru Watarai, Kenta Nakahashi, Mitsuaki Sadahiro

Abstract

Anatomical thoracoscopic segmentectomy is one of the most complicated surgeries. To perform the complex segmentectomy, pre-operative simulation and three-dimensional multi-detector computed tomography (3D-CT) are both essential for safely performing operations and for securing adequate surgical margins. Comprehension of the intersegmental and intrasegmental veins to visualize the segmental border facilitates an easier parenchymal dissection. We describe our method and knack for creating an inflation-deflation line for lung segmentectomy that could especially be useful in thoracoscopic procedures for lung segmentectomy.

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