Two-Way: A Novel Method for Identifying the Anatomy During Uniportal Thoracoscopic Segmentectomy

Area of Science:

• Thoracic Surgery
• Surgical Anatomy
• Minimally Invasive Procedures

Background:

• Segmental bronchi and vessels exhibit significant anatomical variability.
• Accurate identification is crucial for successful segmentectomy.
• Misidentification can lead to procedure failure and conversion to more extensive resections.

Purpose of the Study:

• To introduce a novel technique for identifying target segmental vessels and bronchi.
• To improve accuracy in uniportal video-assisted thoracoscopic segmentectomy.
• To minimize the risk of misidentifying thoracic anatomical structures.

Main Methods:

• Uniportal video-assisted thoracoscopic surgery (UVATS) approach.
• Exposure of adjacent segmental anatomy to identify target structures.
• Focus on precise localization of segmental bronchi and vessels.

Main Results:

• The described method facilitates clearer identification of segmental anatomy.
• Reduced likelihood of misidentifying target bronchi and vessels.
• Potential to decrease conversion rates in segmentectomy procedures.

Conclusions:

• Exposing adjacent segmental anatomy is an effective strategy for precise identification.
• This novel approach enhances safety and efficiency in thoracoscopic segmentectomy.
• The technique offers a solution to the challenges posed by anatomical variability.