Extended Segmentectomy for Small Lung Nodule with Image-Guided Video-Assisted Thoracoscopic Surgery

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Cheng YF ◽  
◽  
Wang BY ◽  

Patients with clinical T1aN0M0 Non-Small Cell Carcinoma (NSCLC) or poor pulmonary function may benefit more from segmentectomy compared to lobectomy. However, there is question about segmentectomy provides not enough safe margin, especially for nodules situated at the intersegmental area. We describe a novel technique using image-guided Video-Assisted Thoracoscopic Surgery (iVATS) to accomplish extended segmentectomy for central lung nodules. This technique helps to overcome the challenges of nodules situated at the intersegmental area.

2020 ◽  
Author(s):  
Chu-Chun Liang ◽  
Chi-Hao Liao ◽  
Ya-Fu Cheng ◽  
Wei-Heng Hung ◽  
Heng-Chung Chen ◽  
...  

Abstract Background We demonstrated the safety and feasibility of image-guided video-assisted thoracoscopic surgery (iVATS) of bilateral lung lesions in a hybrid operating room. Methods This study was a retrospective analysis of a case series. A total of 7 patients with 15 small lung nodules underwent bilateral iVATS between July 2018 and May 2019. All procedures were completed within a single anesthesia procedure and performed in a hybrid operating room that had a cone-beam computed tomography (CT) apparatus equipped with a laser navigation system. The lesion characteristics, operation methods, and peri-operative clinical outcomes were summarized. Results A total of 7 patients with 15 resected lung nodules were analyzed. The most common pathological result of our bilateral iVATS was metastasis. The median length of hospital stay was 5 days (range from 3 to 10 days). The median right chest tube duration was 2 days (range from 1 to 8 days), and the median left chest tube duration was 3 days (range from 2 to 5 days). Only one patient had a complication during his hospitalization period. There was no surgery-related mortality observed. Conclusions The bilateral iVATS procedure seems to be a feasible, safe and cost-effective approach for successful resection of bilateral lung lesions.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Chu-Chun Liang ◽  
Chi-Hao Liao ◽  
Ya-Fu Cheng ◽  
Wei-Heng Hung ◽  
Heng-Chung Chen ◽  
...  

2017 ◽  
Vol 53 (2) ◽  
pp. 353-358 ◽  
Author(s):  
Ming-Ju Hsieh ◽  
Hsin-Yueh Fang ◽  
Chien-Cheng Lin ◽  
Chih-Tsung Wen ◽  
Huan-Wu Chen ◽  
...  

Author(s):  
Carlos Carvajal ◽  
Felipe González ◽  
Rafael Beltrán ◽  
Ricardo Buitrago ◽  
Amelia de los Reyes ◽  
...  

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