Video-Assisted Thoracic Surgery Segmentectomy

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Minimally Invasive Procedures

Background:

• Lobectomy is the standard surgical treatment for non-small-cell lung cancer.
• Thoracoscopic segmentectomy is increasingly utilized as an alternative surgical approach.
• Choosing between lobectomy and segmentectomy requires careful consideration of multiple factors.

Purpose of the Study:

• To provide an overview of thoracoscopic segmentectomy procedures.
• To detail methods for each step, from preoperative planning to intersegmental plane division.
• To highlight techniques for achieving oncologically safe margins in segmentectomy.

Main Methods:

• Preoperative planning and simulation.
• Tumor localization and identification of the intersegmental plane.
• Division of the intersegmental plane using various techniques and landmarks.

Main Results:

• The article outlines a systematic approach to thoracoscopic segmentectomy.
• Methods focus on achieving adequate surgical margins with minimal manual palpation.
• Successful identification and division of intersegmental planes are crucial.

Conclusions:

• Thoracoscopic segmentectomy offers a viable alternative to lobectomy for specific non-small-cell lung cancer cases.
• Meticulous planning and precise execution are essential for oncological safety.
• This overview serves as a guide for performing thoracoscopic segmentectomy.