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Related Experiment Video

Updated: May 9, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
11:17

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Single-incision thoracoscopic lobectomy and segmentectomy with radical lymph node dissection.

Bing-Yen Wang1, Cheng-Che Tu, Chao-Yu Liu

  • 1Division of Thoracic Surgery, Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan.

The Annals of Thoracic Surgery
|July 23, 2013
PubMed
Summary

Single-port video-assisted thoracoscopic surgery (VATS) lobectomy and segmentectomy is a safe and feasible approach for select patients with early-stage lung conditions. This minimally invasive technique demonstrates good outcomes with minimal complications.

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Single-incision thoracoscopic lobectomy and segmentectomy are infrequently reported procedures.
  • This study details the experience with single-incision thoracoscopic lobectomy and segmentectomy, including radical mediastinal lymph node dissection.

Purpose of the Study:

  • To evaluate the safety and feasibility of single-incision thoracoscopic lobectomy and segmentectomy.
  • To present the perioperative outcomes of this minimally invasive surgical approach.

Main Methods:

  • Retrospective analysis of 19 patients undergoing single-incision thoracoscopic lobectomy or segmentectomy between November 2010 and May 2012.
  • Procedures performed via a single incision at the anterior axillary line using a 10-mm video camera and working instruments.
Keywords:
10

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  • Collection and analysis of perioperative variables and outcomes.

    • Main Results:

    • 14 lobectomies and 5 segmentectomies were successfully completed without conversion.
    • The study included 15 cancer cases and 4 benign lung disease cases.
    • Mean operative time was 156±46 minutes, with a median of 22.9±9.8 lymph nodes retrieved. Average blood loss was 38.4±25.9 mL. No 30-day mortality was observed; two cases of atelectasis occurred.

    Conclusions:

    • Single-port VATS lobectomy and segmentectomy is a safe and feasible surgical option for carefully selected patients.
    • This approach offers a minimally invasive alternative for lung resection with acceptable outcomes.