Uniportal thoracoscopic apical (S1) segmentectomy of the right upper lobe via an anterior approach

2021 ◽  
Keyword(s):  
Anterior Approach ◽  
Single Port ◽  
Lower Lobe ◽  
Thoracoscopic Approach ◽  
Anterior Axillary Line ◽  
Single Port Access ◽  
Video Tutorial ◽  
Port Access ◽  
Intersegmental Plane ◽  
The Right

An apical (S1) segmentectomy of the right upper lobe is considered one of the most challenging procedures among the uncommon pulmonary segmentectomies. However, we consider that the uniportal thoracoscopic approach, for which the single port access is located at the 4th intercostal space of the anterior axillary line, makes this challenging operation easier because we can recognize any intrathoracic vessels and bronchi that should be divided just under the incision. Moreover, it is easy to insert a stapler to divide an intersegmental plane between S1 and the other segments because of the good surgical view provided by this approach. In this video tutorial, we describe the successful results of a patient undergoing uniportal thoracoscopic S1 segmentectomy of the right lower lobe and explain the nuances of performing it.

VATS right basal segmentectomy for NSCLC in a patient with systemic sclerosis

2020 ◽  
Keyword(s):  
Systemic Sclerosis ◽  
Early Stage ◽  
Lower Lobe ◽  
Radical Resection ◽  
Small Cell ◽  
Small Cell Lung ◽  
Thoracoscopic Approach ◽  
Video Tutorial ◽  
Intersegmental Plane ◽  
The Right

In recent decades, the thoracoscopic approach has been accepted as the gold standard to treat early stage non-small-cell lung cancer because it reduces postoperative pain and results in a shorter hospital stay. More recently, several techniques for performing sublobar resection have been reported that achieve a radical resection while sparing as much parenchyma as possible. This video tutorial illustrates our technique for resecting the basal segments of the right lower lobe in a patient presenting with an adenocarcinoma in the right lower lobe. The patient also had systemic sclerosis, which led to pulmonary hypertension and fibrosis. Therefore, it was important to limit the parenchymal resection to save the apical segment of the lower lobe so as not to exacerbate the underlying conditions. The vascular and bronchial structures are readily identifiable, and the intersegmental plane can be easily accessed by clamping the associated bronchus while inflating the lung.

scholarly journals Clinical experience with single-port access laparoscopic cystectomy and myomectomy

2016 ◽  
Vol 43 (1) ◽  
pp. 44 ◽  
Author(s):  
Jae-Hyeok Jeong ◽  
Yu-Ri Kim ◽  
Kil-Pyo Hong ◽  
Jae-Eun Ha ◽  
Eun-Jeong Kim ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Single Port ◽  
Single Port Access ◽  
Port Access ◽  
Laparoscopic Cystectomy
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