Anatomic thoracoscopic segmentectomy for early-stage lung cancer

Abstract

Over the past 20 years, there have been significant advancements in thoracoscopic surgical techniques as well as in lung cancer screening protocols, which have identified greater numbers of smaller lung tumors (<2 cm) that are more frequently operable and curable. These advancements have led to new interest in the thoracoscopic (VATS) approach to segmentectomy. This article will discuss the outcomes and technical considerations associated with VATS segmentectomy.

Using novel technology to augment complex video-assisted thoracoscopic single basilar segmentectomy

“…The VATS approach can be used for any anatomic segmental resection (10). The most commonly performed segmental resections are lingula sparing left upper lobectomy, lingulectomy, superior segmentectomy, and basilar segmentectomy.…”

“…Although most authors advocate taking the pulmonary veins first, it can be very challenging, particularly for V 10 .…”

Lung segments from anatomy to surgery

“…One of the most common procedures in thoracic surgery is segmentectomy, involving resection of a given lung segment [12]. The essence of this procedure is to isolate and divide the segmental bronchus, and then excise it along with the peripheral lung parenchyma [31].…”

Uniportal video‐assisted thoracoscopic left S4 anatomical segmentectomy

“…1 Some SPLs have been diagnosed as early-stage lung cancer after surgery, 2 and the five-year survival rate for adenocarcinoma in situ (AIS) and minimally invasive adenocarcinoma (MIA) is 100%. 3 Surgery is usually used to treat early-stage lung cancer 4 With the development of video-assisted thoracic surgery (VATS), segmentectomy has been employed for thoracoscopic sublobar lung resection, achieving an outcome equivalent to that of lobectomy in selected patients with stage IA non-small cell lung cancer (NSCLC). 1,5 Studies of VATS segmentectomy have mainly focused on posterior, superior, dorsal, basal, and lingular segmentectomy.…”