Uniportal thoracoscopic right anterior basal (S8) segmentectomy using unidirectional dissection

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Pulmonary Anatomy

Background:

• Anterior basal (S8) segmentectomy is technically demanding due to deep pulmonary vein branches.
• Uniportal thoracoscopic surgery presents challenges with instrument angulation through a single incision.

Observation:

• This study details a successful uniportal thoracoscopic S8 segmentectomy on the right lower lobe.
• The procedure required careful identification of deep-seated pulmonary vein branches.

Findings:

• A unidirectional dissection technique was employed to overcome surgical difficulties.
• The minimally invasive approach was successfully performed, demonstrating feasibility.

Implications:

• This technique offers a viable solution for complex pulmonary segmentectomies.
• It highlights the potential for advanced minimally invasive thoracic surgery.