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Updated: May 15, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
A simple technique to avoid postoperative air leakages after right upper lobectomy
Marco Anile1, Daniele Diso, Erino A Rendina
1Department of Thoracic Surgery, Fondazione Eleonora Lorillard Spencer Cenci, University of Rome Sapienza, Rome, Italy.
Summary
A novel technique for right upper lobectomy involves stapling the lung in a non-ventilated area, preventing air leaks. This simple method was successfully used in 15 patients, showing no postoperative air leakage complications.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Innovation
Background:
- Completing interlobar fissures during lung resections can be challenging.
- Air leaks are a common postoperative complication following lobectomy.
Purpose of the Study:
- To describe a simple and effective technique for completing interlobar fissures during right upper lobectomy.
- To minimize the risk of postoperative air leakage.
Main Methods:
- A technique involving gentle lung inflation to identify the interlobar border after vascular and bronchial closure.
- Stapling the parenchyma (GIA 75) within a non-ventilated lung zone.
Main Results:
- The technique was applied to 15 patients undergoing right upper lobectomy.
- No instances of postoperative air leakage were observed in any of the patients.
Conclusions:
- This method allows for precise stapling in a non-ventilated area, effectively preventing air leaks.
- The described technique is a safe and reliable approach for managing interlobar fissures in right upper lobectomy.
