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Related Experiment Video

Updated: Feb 20, 2026

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III
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Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III

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A 2-cm single-incision thoracoscopic left upper division segmentectomy.

Kook Nam Han1, Hyun Koo Kim1, Hyun Joo Lee1

  • 1Departments of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Journal of Visualized Surgery
|October 28, 2017
PubMed
Summary
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Single-incision video-assisted thoracic surgery (VATS) segmentectomy offers a feasible approach for early lung cancer. This minimally invasive technique shows promise for improved patient outcomes and reduced scarring in selected cases.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Video-assisted thoracic surgery (VATS) sublobar resection is increasingly used for early lung malignancy.
  • Advancements in surgical techniques have enabled new VATS approaches.

Purpose of the Study:

  • To evaluate the feasibility of single-incision VATS segmentectomy for early lung cancer.
  • To assess the outcomes and benefits of this minimally invasive technique.

Main Methods:

  • VATS segmentectomy using a 2-cm single incision was performed for early lung cancer (T1a, <2 cm) without lymph node metastasis.
  • Preoperative dual localization was utilized to precisely identify lung lesions.
  • Lymph node dissection was conducted using a 5-mm thoracoscope and articulating endoscopic devices.
Keywords:
Segmentectomyminimally invasive thoracic surgerysingle-incisional thoracoscopic surgeryvideo-assisted thoracic surgery (VATS)

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Main Results:

  • The procedure was performed on early lung cancer in the left upper lobe.
  • Dual localization aided in identifying the specific lesion location.
  • Single-incisional VATS segmentectomy demonstrated potential benefits including reduced pain, improved postoperative outcomes, and smaller scars.

Conclusions:

  • Single-incision VATS segmentectomy is a potentially feasible treatment option for early lung cancer in carefully selected patients.
  • This technique may offer advantages over traditional methods for specific patient groups.