Abstract
A technique for combined resection of S2 b (horizontal subsegment of the posterior segment) and S3 a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S2 b and S3 a should be resected from the interlobar fissure, an approach for the artery and bronchus of S3 a (A3 a and B3 a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B3 runs in back of V2 at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A2 b and B2 b are cut at the interlobar fissure; (2) A3 a and B3 a are cut from the ventral side of hilum; (3) the peripheral stumps of A3 a and B3 a are transferred to the interlobar fissure; and (4) subsegments of S3 a and S2 b are resected with the peripheral stumps of A2 b, B2 b, A3 a, and B3 a from the side of the interlobar fissure. We believe this procedure makes the combined resection of S2 b and S3 a easy.
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Yoshikawa K, Tsubota N, Kodama K, Ayabe H, Taki T, Mori T. Prospective study of extended segmentectomy for small lung tumors: the final report. Ann Thorac Surg 2002;73:1055–1059.
Koike T, Yamato Y, Yoshiya K, Shimoyama T, Suzuki R. Intentional limited pulmonary resection for peripheral T1N0M0 small-sized lung cancer. J Thorac Cardiovasc Surg 2003;125:924–928.
Okada M, Koike T, Higashiyama M, Yamato Y, Kodama K, Tsubota N. Radical sublobar resection for small-sized non-small cell lung cancer: a multicenter study. J Thorac Cardiovasc Surg 2006;132:769–775.
Nomori H, Ikeda K, Iwatani K, Kawanaka K, Shiraishi S, Kobayashi T, et al. Sentinel node navigation segmentectomy for c-T1N0M0 non-small cell lung cancer. J Thorac Cardiovasc Surg 2007;133:780–785.
Nomori H, Ohba Y, Shibata H, Shiraishi K, Mori T, Shiraishi S. Required area of lymph node sampling during segmentectomy for clinical stage IA non-small cell lung cancer. J Thorac Cardiovasc Surg 2010;139(1):38–42.
Yoshimoto K, Nomori H, Shibata H, Tashiro K, Shiraishi S, Kobayashi T, et al. Quantification of the impact of segmentectomy on pulmonary function by perfusion SPECT/CT. J Thorac Cardiovasc Surg 2009;137:1200–5.
Yoshimoto K, Nomori H, Mori T, Ohba Y, Shiraishi K, Ikeda K. Combined subsegmentectomy: postoperative pulmonary function compared to multiple segmental resection. J Cardiothorac Surg 2011 (in press).
Tsubota N. An improved method for distinguishing the intersegmental plane of the lung. Surg Today 2000;30:963–964.
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Okui, M., Kohno, M., Izumi, Y. et al. Combined subsegmentectomy for S2 b (horizontal subsegment of the posterior segment) and S3 a (lateral subsegment of the anterior segment) in the right upper pulmonary lobe. Gen Thorac Cardiovasc Surg 59, 632–635 (2011). https://doi.org/10.1007/s11748-010-0738-0
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DOI: https://doi.org/10.1007/s11748-010-0738-0