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Uniportal anatomic combined unusual segmentectomies.

Diego González-Rivas1,2, Francisco Lirio3, Julio Sesma3

  • 1Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.

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Uniportal video-assisted thoracic surgery (VATS) offers a minimally invasive approach for complex lung cancer resections. This technique allows for lung-sparing segmentectomies, even when multiple lung segments are involved.

Keywords:
Uniportal video-assisted thoracic surgery (uniportal VATS)anatomic segmentectomyminimally invasive thoracic surgery (MITS)sublobar resection

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Sublobar anatomic resections are increasingly utilized for early-stage lung cancer.
  • Uniportal VATS combines minimally invasive benefits with lung-sparing advantages.
  • Complex segmentectomies involving multiple lung segments present technical challenges.

Purpose of the Study:

  • To demonstrate the feasibility of uniportal VATS for complex, combined segmentectomies.
  • To present an educational resource showcasing these advanced surgical techniques.
  • To highlight the benefits of lung-sparing approaches in early lung cancer treatment.

Main Methods:

  • Case series of five patients undergoing combined and unusual segmentectomies.
  • Uniportal video-assisted thoracic surgery (VATS) approach.
  • Procedures performed by an experienced surgeon in high-volume institutions.

Main Results:

  • Uniportal VATS proved to be a feasible approach for complex combined segmentectomies.
  • The study showcases successful execution of technically demanding lung-sparing procedures.
  • Excellent educational material was generated from these complex cases.

Conclusions:

  • Uniportal VATS is a viable option for complex anatomic segmentectomies in early lung cancer.
  • This approach facilitates maximal lung preservation while achieving oncologic goals.
  • The presented cases offer valuable insights for surgeons performing advanced VATS procedures.