Uniportal thoracoscopic lateral and posterior basal (S9+10) segmentectomy

Among uncommon pulmonary segmentectomies, the lateral and posterior basal (S9+10) segmentectomy is one of the most challenging because it requires exposure and recognition of common basal pulmonary vein branches located deep in lung parenchyma. In order to achieve an optimal thoracoscopic S9+10 via a uniportal approach the surgeon must first select the most suitable uniportal method, because the angulation of surgical instruments is limited in this minimally invasive approach and this makes it especially difficult to perform.  In this video tutorial, we demonstrate our technique for a uniportal thoracoscopic S9+10 segmentectomy; we discuss our successful results, and explain the nuances of performing the procedure.