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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Video-Assisted Thoracic Surgery Segmentectomy.

Ha Eun Kim¹, Young Ho Yang¹, Chang Young Lee¹

¹Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Journal of Chest Surgery

|August 6, 2021

Summary

Thoracoscopic segmentectomy is a growing alternative to lobectomy for non-small-cell lung cancer. This overview details methods for planning, localization, and safe division of the intersegmental plane during segmentectomy.

Keywords:

Lung neoplasms Segmentectomy Simulation Thoracoscopy

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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.