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Uniportal thoracoscopic lateral and posterior basal (S9+10) segmentectomy
Hitoshi Igai1, Mitsuhiro Kamiyoshihara2, Natsumi Matsuura3
1Department of General Thoracic Surgery Maebashi Red Cross Hospital 3-21-36 Asahi-cho Maebashi, Gunma 371-0014 Japan.
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|November 6, 2020
Summary
This video tutorial details a challenging lateral and posterior basal (S9+10) segmentectomy using a uniportal thoracoscopic approach. It highlights techniques for overcoming instrument angulation limitations in minimally invasive surgery.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Pulmonary Surgery
Background:
- Lateral and posterior basal (S9+10) segmentectomy is an uncommon and challenging pulmonary resection.
- Deeply located common basal pulmonary vein branches require precise dissection.
- Uniportal thoracoscopic surgery presents unique challenges due to limited instrument angulation.
Observation:
- Uniportal thoracoscopic surgery presents unique challenges due to limited instrument angulation.
- Optimal technique selection is crucial for successful S9+10 segmentectomy via a uniportal approach.
Findings:
- This tutorial demonstrates a specific technique for performing uniportal thoracoscopic S9+10 segmentectomy.
- The video discusses the successful outcomes and critical nuances of the presented surgical method.
Implications:
- This technique may improve the feasibility and success rates of uniportal thoracoscopic S9+10 segmentectomies.
- Enhanced understanding of this approach can benefit thoracic surgeons performing complex lung resections.

