Two separate thoroscopic segmentectomies with vessel sealing system

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Atsushi WatanabeTetsuya Higami

Abstract

Total thoracoscopic segmentectomy is an appealing concept in terms of providing a parenchyma-sparing treatment. We describe our technique of two seperate total thoracoscopic segmentectomies by using a vessel sealing system (VSS). A 76-year old female with four gradually enlarging ground glass lesions on the right segment 2 (10 and 3 mm) and segment 6 (8 and 3 mm) was admitted to our institute for surgical diagnosis and treatment. Preoperative three-dimensional computed tomography showed that the A2 is composed of descending A2 and ascending A2, branch of V6 coursed to V2 and B1a originated from B2 and B1b from B3. Two separate segmentectomies were subsequently scheduled. Pulmonary vessel division was performed with VSS after proximal ligation. Intersegmental division by VSS and electrocautery was performed with the use of inflation-deflation demarcation line and the pulmonary veins along the intersegmental plane (V2a and V2c for segment 2 and V6b and V6c for segment 6) as guides to confirm the intersegmental plane after pulmonary artery and bronchial divisions. The intraoperative frozen-section examinations revealed adenocarcinoma in situ. Two separate segmentectomies were successfully completed, with a total operative time of ...Continue Reading

References

Dec 14, 2004·World Journal of Surgery·Fabrizio RomanoFranco Uggeri
Feb 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Morihito OkadaNoriaki Tsubota
May 16, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroyuki OizumiMitsuaki Sadahiro
Sep 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Matthew J SchuchertRodney J Landreneau
Oct 5, 2010·The Journal of Thoracic and Cardiovascular Surgery·Hiroyuki OizumiMitsuaki Sadahiro

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Citations

Oct 26, 2013·General Thoracic and Cardiovascular Surgery·Tadashi Akiba
Apr 27, 2016·Thoracic Surgery Clinics·Eric GoudieMoishe Liberman

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