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Updated: Jul 13, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Pulmonary middle lobe fixation using TachoComb in patients undergoing right upper lobectomy with complete oblique
Masahiko Higashiyama1, Koji Takami, Naozumi Higaki
1Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3, Nakamichi, Higashinari-ku, Osaka, 537-8511, Japan. higasiyama-ma@mc.pref.osaka.jp
Abstract:
Postoperative lobar torsion is a life-threatening complication of pulmonary resection. To prevent this complication, pulmonary lobe fixation has been proposed. We present here a new technique of middle lobe fixation after right upper lobectomy, using TachoComb, a collagen fleece coated with fibrin glue. This technique may facilitate tight fixation of the middle lobe to the lower lobe of the right lung in patients undergoing right upper lobectomy with complete oblique fissure.

