Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Thoracoscopic stapler-based "bidirectional" segmentectomy for posterior basal segment (S10) and its variants.

Masaaki Sato1, Tomonori Murayama1, Jun Nakajima1

  • 1Department of Thoracic Surgery, The University of Tokyo Hospital, Tokyo 113-8655, Japan.

Journal of Thoracic Disease
|May 23, 2018
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Adjunctive posterior wall isolation for persistent and long-standing persistent atrial fibrillation: the CORNERSTONE AF trial.

European heart journal·2026
Same author

Mosaic phenotypic evolution underlies the adaptive success of water-surface colonization in Gerromorpha.

Proceedings of the National Academy of Sciences of the United States of America·2026
Same author

Successful two-port video-assisted thoracoscopic surgery for acute empyema in a high-risk patient with a high RAPID score: a case report.

AME case reports·2026
Same author

Trends in thymectomy for myasthenia gravis in Japan: analysis of a nationwide surgical registry from 1996 to 2023.

General thoracic and cardiovascular surgery·2026
Same author

Novel nonbiological surgical sealant to control air leakage after lung resection.

General thoracic and cardiovascular surgery·2025
Same author

Postoperative pneumothorax occurrence in patients with Marfan syndrome.

General thoracic and cardiovascular surgery·2025

Thoracoscopic segmentectomy of the posterior basal segment (S10) is challenging. A bidirectional approach with specific stapling techniques and virtual-assisted lung mapping simplifies this complex procedure, improving outcomes.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Thoracoscopic segmentectomy of the posterior basal segment (S10) presents significant surgical challenges.
  • Stapler-based techniques, while simplifying operations, can complicate S10 segmentectomy due to anatomical complexities.
  • Difficulties include three-dimensional stapling, identifying the pulmonary artery, and managing anatomical variations of S10 and adjacent segments.

Purpose of the Study:

  • To present a simplified and effective technique for thoracoscopic S10 segmentectomy.
  • To address the challenges associated with stapler-based S10 segmentectomy.
  • To introduce the 'bidirectional approach' and complementary techniques for complex segmentectomies.

Main Methods:

  • Description of the 'bidirectional approach' for anatomical confirmation and safe resection.
Keywords:
Video-assisted thoracic surgerysegmentectomystaplervirtual-assisted lung mapping (VAL-MAP)

Related Experiment Videos

  • Demonstration of stapling techniques using 'standing stitches' to manage cuboidal segments.
  • Application of virtual-assisted lung mapping (VAL-MAP) for precise resection line demarcation.

    • Main Results:

    • The bidirectional approach facilitates accurate anatomical assessment while preserving adjacent segments.
    • Stapling techniques with standing stitches aid in managing complex segment shapes.
    • VAL-MAP enables flexible execution of various complex segmentectomies, including subsegmentectomies and extended resections.

    Conclusions:

    • The bidirectional approach, combined with specific stapling techniques and VAL-MAP, offers a viable solution for challenging thoracoscopic S10 segmentectomies.
    • These methods enhance safety and simplify complex anatomical resections, potentially reducing post-operative air leakage.
    • Careful attention to adjacent segment anatomy, particularly S7 congestion, is crucial for optimal outcomes.