scholarly journals Technical Advances in Segmentectomy for Lung Cancer: A Minimally Invasive Strategy for Deep, Small, and Impalpable Tumors

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3137
Author(s):  
Takashi Eguchi ◽  
Toshihiko Sato ◽  
Kimihiro Shimizu
Keyword(s):  
Lung Cancer ◽  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Early Stage ◽  
Three Dimensional ◽  
Tumor Localization ◽  
Early Stage Lung Cancer ◽  
Published Evidence ◽  
Radiofrequency Identification ◽  
Technical Advances

With the increased detection of early-stage lung cancer and the technical advancement of minimally invasive surgery (MIS) in the field of thoracic surgery, lung segmentectomy using MIS, including video- and robot-assisted thoracic surgery, has been widely adopted. However, lung segmentectomy can be technically challenging for thoracic surgeons due to (1) complex segmental and subsegmental anatomy with frequent anomalies, and (2) difficulty in localizing deep, small, and impalpable tumors, leading to difficulty in obtaining adequate margins. In this review, we summarize the published evidence and discuss key issues related to MIS segmentectomy, focusing on preoperative planning/simulation and intraoperative tumor localization. We also demonstrate two of our techniques: (1) three-dimensional computed tomography (3DCT)-based resection planning using a novel 3DCT processing software, and (2) tumor localization using a novel radiofrequency identification technology.

Do minimally invasive approaches increase the survival of patients with early-stage lung cancer undergoing lobectomy

2016 ◽  
Vol 1 ◽  
pp. 18-18
Author(s):  
Benoît Bédat ◽  
Wolfram Karenovics ◽  
Samira Mercedes Sadowski ◽  
Frédéric Triponez
Keyword(s):  
Lung Cancer ◽  
Minimally Invasive ◽  
Early Stage ◽  
Early Stage Lung Cancer ◽  
Stage Lung Cancer

scholarly journals Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: a case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Masahiro Yanagiya ◽  
Hirokazu Yamaguchi ◽  
Noriko Hiyama ◽  
Jun Matsumoto
Keyword(s):  
Lung Cancer ◽  
Indocyanine Green ◽  
Early Stage ◽  
Main Pulmonary Artery ◽  
Three Dimensional ◽  
Early Stage Lung Cancer ◽  
Case Presentation ◽  
Segmental Bronchus ◽  
Dimensional Reconstruction ◽  
Preoperative Image

Abstract Background Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus. Case presentation A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy. Conclusion Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

scholarly journals Erratum to: Ten Years' Experience in Robotic-Assisted Thoracic Surgery for Early Stage Lung Cancer

2019 ◽  
Author(s):  
Monica Casiraghi ◽  
Domenico Galetta ◽  
Alessandro Borri ◽  
Adele Tessitore ◽  
Rosalia Romano ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Early Stage ◽  
Early Stage Lung Cancer ◽  
Robotic Assisted ◽  
Stage Lung Cancer

scholarly journals Uni-portal and three-portal video-assisted thoracic surgery pulmonary lobectomy for early stage lung cancer (UNIT trial): study protocol of a single-center randomized trial

2021 ◽  
Author(s):  
Paolo Mendogni ◽  
Alessandra Mazzucco ◽  
Alessandro Palleschi ◽  
Lorenzo Rosso ◽  
Ilaria Righi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Postoperative Pain ◽  
Thoracic Surgery ◽  
Early Stage ◽  
Pulmonary Lobectomy ◽  
Analgesic Drug ◽  
Early Stage Lung Cancer ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Stage Lung Cancer

Abstract BackgroundVideo-assisted thoracoscopic surgery (VATS) lobectomy is currently the recommended approach for treating early-stage non-small cell lung cancer (NSCLC). Different VATS approaches have been proposed so far, and the actual advantages of one technique over the other are still under debate. The aim of our study is to compare postoperative pain and analgesic drug consumption in uniportal VATS and triportal VATS for pulmonary lobectomy in early-stage lung cancer patients. MethodsThis study is a single-centre, prospective, two-arm, parallel-group, randomized controlled trial. It is designed to compare uniportal video-assisted thoracic surgery (u-VATS) and three-ports video-assisted thoracic surgery (t-VATS) in terms of post-operative pain. The trial will enrol 120 patients with a 1:1 randomization. The primary outcome is the assessment of analgesic drug consumption. Secondary outcomes are postoperative pain measurement, evaluation of postoperative pulmonary function, and metabolic recovery after pulmonary lobectomy. DiscussionThe choice of which VATS approach to adopt for treating patients undergoing pulmonary resection mostly depends on the surgeon’s preferences; therefore, it is hard to prove whether one VATS technique is superior to the other. Moreover, postoperative analgesic protocols vary consistently among different centres. To date, only a few studies have evaluated the effects of the most popular VATS techniques. There is no evidence about difference between multi-ports VATS and u-VATS in terms of postoperative pain. We hope that the results of our trial will provide valuable information on the outcomes of these different surgical approaches.Trial registrationClinicalTrials.gov. NCT03240250; registered 08/07/2017; retrospectively registered; https://clinicaltrials.gov/ct2/show/NCT03240250?term=NCT03240250&draw=2&rank=1

scholarly journals Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: A case report

2020 ◽  
Author(s):  
Masahiro Yanagiya ◽  
Hirokazu Yamaguchi ◽  
Noriko Hiyama ◽  
Jun Matsumoto
Keyword(s):  
Lung Cancer ◽  
Indocyanine Green ◽  
Early Stage ◽  
Main Pulmonary Artery ◽  
Three Dimensional ◽  
Early Stage Lung Cancer ◽  
Case Presentation ◽  
Segmental Bronchus ◽  
Dimensional Reconstruction ◽  
Preoperative Image

Abstract Background Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus. Case presentation A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy. Conclusion Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

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