Stem-Branch: A Novel Method for Tracking the Anatomy During Thoracoscopic S9-10 Segmentectomy

Qiang Pu; Chengwu Liu; Chenglin Guo; Jiandong Mei; Lunxu Liu

doi:10.1016/j.athoracsur.2019.05.046

Stem-Branch: A Novel Method for Tracking the Anatomy During Thoracoscopic S9-10 Segmentectomy

Ann Thorac Surg. 2019 Nov;108(5):e333-e335. doi: 10.1016/j.athoracsur.2019.05.046. Epub 2019 Jul 6.

Authors

Qiang Pu¹, Chengwu Liu¹, Chenglin Guo¹, Jiandong Mei¹, Lunxu Liu²

Affiliations

¹ Department of Thoracic Surgery, West China Hospital, Chengdu, China; Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.
² Department of Thoracic Surgery, West China Hospital, Chengdu, China; Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China. Electronic address: lunxu_liu@aliyun.com.

PMID: 31288018
DOI: 10.1016/j.athoracsur.2019.05.046

Abstract

Thoracoscopic S9-10 segmentectomies are the most technically challenging anatomic segmentectomies. Because the target vessels and bronchus are commonly variable and deeply located in the lung parenchyma, exposing and correctly identifying them through an interlobar fissure approach or a posterior approach is difficult. We describe a novel method to track the target segmental branches along the stem during single-direction thoracoscopic S9-10 segmentectomy through an inferior pulmonary ligament approach.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Humans
Intraoperative Care
Lung / anatomy & histology*
Pneumonectomy / methods*
Thoracoscopy / methods*