[A novel selected segmental inflation technique for anatomical segmentectomy]

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Pulmonology

Context:

• Radical segmentectomy is a surgical approach for small-sized lung cancers.
• Accurate identification of intersegmental borders is crucial but often difficult during these procedures.
• Minimally invasive thoracoscopic techniques are increasingly preferred for lung cancer surgery.

Purpose:

• To present a novel and simplified method for identifying intersegmental borders during radical segmentectomy for small lung cancers.
• To demonstrate the utility of a fibrin sealant spray kit nozzle for segment inflation.
• To evaluate the feasibility and ease of this technique in a clinical setting.

Summary:

• A new technique involves using the nozzle of a fibrin sealant spray kit to inflate the diseased lung segment.
• Inflation is achieved through a small pinhole placed distal to the ligation of the segmental bronchus.
• This method facilitates easier recognition of the intersegmental border during thoracoscopic surgery.

Impact:

• This technique simplifies the identification of intersegmental planes, potentially improving the precision of radical segmentectomies.
• It offers a practical solution for a common challenge in lung cancer surgery, potentially reducing operative time and improving outcomes.
• The method's ease of use in thoracoscopic procedures could enhance the adoption of lung-sparing surgeries for early-stage lung cancer.