A 2-cm single-incision thoracoscopic left upper division segmentectomy
- Authors
- Han, Kook Nam; Kim, Hyun Koo; Lee, Hyun Joo; Choi, Young Ho
- Issue Date
- Sep-2015
- Keywords
- Segmentectomy; minimally invasive thoracic surgery; single-incisional thoracoscopic surgery; video-assisted thoracic surgery (VATS)
- Citation
- Journal of visualized surgery, v.1
- Journal Title
- Journal of visualized surgery
- Volume
- 1
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74474
- DOI
- 10.3978/j.issn.2221-2965.2015.07.06
- ISSN
- 2221-2965
- Abstract
- BACKGROUND: A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique. METHODS: From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion. RESULTS: In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar. CONCLUSIONS: A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.
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