Review Article


Novel techniques for video-assisted thoracoscopic surgery segmentectomy

Mingyon Mun, Masayuki Nakao, Yosuke Matsuura, Junji Ichinose, Ken Nakagawa, Sakae Okumura

Abstract

Small lung cancers are being increasing diagnosed because of advances in computed tomography (CT) and low-dose CT screening. Sublobar resection of peripheral, small lung nodules, such as groundglass nodules, is a useful therapeutic option that obtains both a pathological diagnosis and radical cure. Lung segmentectomy is a better option than wedge resection for securing a sufficient surgical margin and can also be used to assess hilar nodes. Anatomical segmentectomy, however, is a technically more complicated operative procedure than standard lobectomy. We describe the issues and novel techniques of video-assisted thoracoscopic segmentectomy.

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