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Uniportal left S1 + 2 segmentectomy

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Abstract

The left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1 + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be performed anteriorly. Given that the fissureless technique is commonly used in uniportal video-assisted thoracoscopic surgery, S1 + 2 segmentectomy exhibits high affinity with the unidirectional approach. We have frequently performed left S1 + 2 segmentectomy for early non-small cell lung cancer located in the apical segment, since this procedure has the potential to preserve pulmonary function over tri-segmentectomy. Herein, we introduce our approach to uniportal left S1 + 2 segmentectomy as a minimally invasive alternative for preserving lung function.

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Authors and Affiliations

  1. Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan

    Shinya Tane, Yuki Nishioka, Yugo Tanaka & Yoshimasa Maniwa

  2. Department of General Thoracic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan

    Kazuya Uchino

  3. Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan

    Wataru Nishio

Authors
  1. Shinya Tane
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  2. Yuki Nishioka
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  3. Yugo Tanaka
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  4. Kazuya Uchino
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  5. Wataru Nishio
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  6. Yoshimasa Maniwa
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Correspondence to Shinya Tane.

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Tane, S., Nishioka, Y., Tanaka, Y. et al. Uniportal left S1 + 2 segmentectomy. Gen Thorac Cardiovasc Surg 71, 432–435 (2023). https://doi.org/10.1007/s11748-023-01929-4

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  • DOI: https://doi.org/10.1007/s11748-023-01929-4

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