Single-Direction Approach for Thoracoscopic Segmentectomy of the Left Upper Lobe Anterior Segment With Mediastinal Lingular Artery. Issue 2 (March 2022)

• Record Type: Journal Article
• Authors: Sueyoshi, Kuniyo; Kojima, Fumitsugu; Otsubo, Kosuke; Hirota, Shinya; Kitamura, Atsushi; Bando, Toru
• Is Part Of: Innovations. Volume 17:Issue 2(2022)
• Page Start: 156
• Page End: 158
• Publication Date: 2022-03
• Subjects: single-direction approach -- thoracoscopic lung segmentectomy -- mediastinal lingular artery -- virtual bronchoscopy-assisted lung mapping; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1177/15569845221086561
• Languages: English
• ISSNs: 1556-9845

Abstract

Thoracoscopic resection of the anterior segment of the left upper lobe (S 3 ) is technically challenging because of the intricate hilar structure and multiple intersegmental planes to be dissected. A single-direction approach for S 3 segmentectomy is a technique in which surgeons dissect the hilum structures exclusively from the ventral side without dividing the interlobar fissure. Our consecutive case series and a representative surgical video demonstrated the feasibility of this approach in cases where the lingular artery arises from the first branch of the left pulmonary artery (mediastinal lingular artery).