Skip to main content

Advertisement

Log in

Fissure-last technique for left upper lobe lung cancer with interlobar invasion: how to do it?

  • How to Do It
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The fissure-last technique is used to minimize postoperative air leak after anatomical lung resection when the interlobar pulmonary artery is inaccessible through the fused fissure. After first dividing the hilar bronchovascular structures, the incomplete fissure is divided using staplers. This technique can be applied for lobectomy combined with segmentectomy in lung cancer with interlobar invasion. We performed this thoracoscopic fissure-last technique in a lung cancer patient in the left upper lobe with invasion to the superior segment (S6) in the left lower lobe.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Decaluwe H, Sokolow Y, Deryck F, Stanzi A, Depypere L, Moons J, et al. Thoracoscopic tunnel technique for anatomical lung resections: a ‘fissure first, hilum last’ approach with staplers in the fissureless patient. Interact Cardiovasc Thorac Surg. 2015;21:2–7.

    Article  Google Scholar 

  2. Samejima J, Mun M, Matsuura Y, Nakao M, Uehara H, Nakagawa K, et al. Thoracoscopic anterior ‘fissure first’ technique for left lung cancer with an incomplete fissure. J Thorac Dis. 2016;8(11):3105–11.

    Article  Google Scholar 

  3. Temes RT, Willms CD, Endara SA, Wernly JA. Fissureless lobectomy. Ann Thorac Surg. 1998;65:282–4.

    Article  CAS  Google Scholar 

  4. Nomori H, Ohtsuka T, Horio H, Naruke T, Suemasu K. Thoracoscopic lobectomy for lung cancer with a largely fused fissure. Chest. 2003;123:619–22.

    Article  Google Scholar 

  5. Stamenovic D, Bostanci K, Messerschmidt A, Jahn T, Schneider T. Fissureless fissure-last video-assisted thoracoscopic lobectomy for all lung lobes: a better alternative to decrease the incidence of prolonged air leak? Eur J Cardiothorac Surg. 2016;50:118–23.

    Article  Google Scholar 

  6. Gómez-Caro A, Calvo MJ, Lanzas JT, Chau R, Cascales P, Parrilla P. The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy. Eur J Cardiothorac Surg. 2007;31:203–8.

    Article  Google Scholar 

  7. Nakazawa S, Shimizu K, Mogi A, Kuwano H. VATS segmentectomy: past, present, and future. Gen Thorac Cardiovasc Surg. 2018;66(2):81–90.

    Article  Google Scholar 

Download references

Acknowledgements

The authors thank Edanz (https://jp.edanz.com) for editing a draft of this manuscript.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yojiro Yutaka.

Ethics declarations

Conflict of interest

The authors declare no conflicts of interest associated with this manuscript.

Ethical approval

The ethics committees of Kyoto University Hospital approved the publication of this manuscript, and the patient provided informed consent for the publication of this manuscript.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (MP4 78221 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yutaka, Y., Tanaka, S., Yamada, Y. et al. Fissure-last technique for left upper lobe lung cancer with interlobar invasion: how to do it?. Gen Thorac Cardiovasc Surg 70, 828–831 (2022). https://doi.org/10.1007/s11748-022-01841-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-022-01841-3

Keywords

Navigation