Uniportal anterior segmentectomy (S3) of the left upper lobe

As the rate of detection of pulmonary lesions such as small ground glass opacities and partial solid nodules has increased, so has the necessity for thoracic surgeons to perform previously uncommon pulmonary segmentectomies. Compared to common types of segmentectomy, such as upper division segmentectomy of the left upper lobe, lingual segmentectomy, superior segmentectomy of the lower lobe, and basilar segmentectomy of the lower lobe, uncommon segmentectomies present a number of technical challenges . In addition, an uncommon segmentectomy can be more difficult to perform  via a uniportal approach than via a multiportal thoracoscopic or thoracotomy approach.  Among the uncommon segmentectomies, we have achieved a thoracoscopic anterior segmentectomy of the left upper lobe via a uniportal approach for a patient with primary lung cancer. In this video tutorial, we demonstrate some tips and tricks for successfully   performing this procedure.