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Related Experiment Video

Updated: Mar 13, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Thoracoscopic Pulmonary Sub-Subsegmentectomy Based on Three-Dimensional Images.

Wei-Bing Wu1, Xin-Feng Xu1, Wei Wen1

  • 1Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

The Annals of Thoracic Surgery
|October 25, 2016
PubMed
Summary

This study details the first reported thoracoscopic anatomic subsubsegmentectomies for complex lung diseases. Three-dimensional computed tomographic angiography (3DCTA) guided these advanced minimally invasive surgeries.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Medical Imaging

Background:

  • Anatomic pulmonary segmentectomy and subsegmentectomy are advanced surgical techniques for lung diseases.
  • Three-dimensional computed tomographic angiography (3DCTA) has improved pre-operative anatomical visualization.
  • The development of 3DCTA enables more precise and individualized surgical approaches.

Observation:

  • Two cases of thoracoscopic anatomic subsubsegmentectomy (SSS) were successfully performed.
  • The surgeries targeted specific subsubsegments of the left lung (S 1+2aii and S 3aii).
  • Procedures were guided by 3DCTA reconstructed images, providing detailed anatomical information.

Findings:

  • This report presents the first detailed account of thoracoscopic anatomic SSS.
  • The study demonstrates the feasibility of SSS using 3DCTA guidance.
  • The nomenclature for subsubsegments followed the Japanese Committee on the Nomenclature for Bronchial Branching.

Implications:

  • Thoracoscopic anatomic SSS represents a new frontier in minimally invasive lung surgery.
  • 3DCTA is crucial for enabling highly precise and individualized subsubsegmentectomies.
  • These findings may pave the way for more lung-sparing surgeries in complex pulmonary conditions.