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Updated: Jun 23, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Total thoracoscopic pulmonary segmentectomy.
Hiroyuki Oizumi1, Naoki Kanauchi, Hirohisa Kato
1Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan. hohizumi@med.id.yamagata-u.ac.jp
Summary
Thoracoscopic pulmonary segmentectomy is a safe and effective minimally invasive procedure for treating lung diseases. This technique offers reduced postoperative pain and improved cosmetic results compared to traditional methods.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Pulmonary Medicine
Background:
- Thoracoscopy is commonly used for lung wedge resections and lobectomies.
- Pulmonary segmentectomy via thoracoscopy is less reported due to its complexity.
Purpose of the Study:
- To evaluate the safety and efficacy of thoracoscopic pulmonary segmentectomy.
- To assess this technique for benign lung diseases and small lung carcinomas.
Main Methods:
- 30 patients underwent thoracoscopic segmentectomy (September 2004-March 2008).
- Four ports (5-20 mm) were used; vessels were ligated, bronchi stapled.
- Intersegmental dissection utilized electrocautery; chest tubes were inserted in all cases.
Main Results:
- 28 patients completed the procedure thoracoscopically; one required minithoracotomy for bleeding.
- One patient had open lobectomy due to small cell carcinoma diagnosis.
- Median operative time was 216 minutes; chest tubes remained for a median of 1 day. No 30-day mortality or local recurrence/metastasis in malignant cases.
Conclusions:
- Thoracoscopic pulmonary segmentectomy is a feasible and safe surgical technique.
- Advantages include reduced postoperative pain and better cosmetic outcomes.
- This minimally invasive approach is suitable for selected lung conditions.
