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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
A totally thoracoscopic approach for pulmonary anatomic segmentectomies.
Dominique Gossot1, Ricard Ramos, Emmanuel Brian
1Thoracic Department, Institut Mutualiste Montsouris, 42 Bd Jourdan, F-75014 Paris, France. dominique.gossot@imm.fr
Interactive Cardiovascular and Thoracic Surgery
|January 18, 2011
Summary
Totally thoracoscopic (TT) anatomic pulmonary segmentectomies are feasible and safe for lung cancer and other conditions. This minimally invasive approach showed low complication rates and short hospital stays in experienced hands.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Pulmonary Medicine
Background:
- Experience with video-assisted anatomic pulmonary segmentectomy is limited.
- Totally thoracoscopic (TT) techniques offer a minimally invasive alternative to traditional surgery.
Purpose of the Study:
- To evaluate the feasibility and safety of totally thoracoscopic (TT) anatomic pulmonary segmentectomies.
- To assess outcomes including operative time, blood loss, complications, and postoperative stay.
Main Methods:
- A 28-month retrospective review of 50 patients undergoing TT anatomic segmentectomies.
- Indications included non-small cell lung carcinoma, solitary metastasis, and benign lesions.
- Procedures involved endoscopic instrumentation without utility incisions.
Main Results:
- 50 TT anatomic segmentectomies were performed with one conversion to thoracotomy.
- Mean operative time was 188±54 min, with mean blood loss of 91±82 ml.
- Four minor postoperative complications (11.7%) and a median stay of 5.6 days were observed.
Conclusions:
- TT anatomic pulmonary segmentectomies are a feasible and safe surgical option.
- The procedure demonstrates acceptable outcomes for various pulmonary conditions.
- Further research can expand the application of this minimally invasive technique.
