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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
152
[Thoracoscopic Temporary Segmental Bronchus Incision Technique for Fissureless Lobectomy]
Yoshio Tsunezuka1, Hideki Fujimori, Nobuyoshi Tanaka
1Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 9, 2017
Summary
Temporary segmental bronchus incision technique (T-BIT) facilitates lymph node dissection during thoracoscopic fissureless lobectomy. This method aids lung cancer surgery by improving safety and enabling complete lymph node removal.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Thoracoscopic fissureless lobectomy offers benefits but faces challenges.
- Enlarged lymph nodes between the bronchus and pulmonary artery can necessitate open conversion.
Purpose of the Study:
- To introduce and evaluate the temporary segmental bronchus incision technique (T-BIT).
- To assess T-BIT's efficacy in facilitating lymph node dissection during fissureless lobectomy for lung cancer.
Main Methods:
- The study included eight patients undergoing thoracoscopic fissureless lobectomy with T-BIT.
- T-BIT involves segmental bronchus incision prior to lobar bronchus stapling for lymph node dissection.
- Procedures included left upper, left lower, and right middle lobectomies.
Main Results:
- Complete peribronchial lymph node dissection was achieved in all patients using T-BIT.
- No intraoperative complications, including pulmonary artery bleeding or injury, were reported.
- Average postoperative chest tube drainage was 2.5±0.5 days.
Conclusions:
- T-BIT is a valuable technique for lymph node dissection in thoracoscopic fissureless lobectomy.
- This method enhances safety and facilitates complete lymph node removal in lung cancer surgery.
