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Updated: Oct 19, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Lateral approach using grasping technic for uniportal major lung resection.
Takashi Suda1, Hiromitsu Nagano2, Takahiro Negi2
1Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center, 1 Gotanda, Harisaki, Okazaki, Aichi, 444-0827, Japan. suda@fujita-hu.ac.jp.
This study introduces a safe grasping technique for uniportal lung resection. This method enhances dissection safety and improves visualization for complex hilar structures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Uniportal major lung resection is a minimally invasive approach.
- Ensuring safety during dissection of critical hilar structures remains a challenge.
Purpose of the Study:
- To describe a novel grasping technique for uniportal major lung resection.
- To evaluate the safety and efficacy of this technique in dissecting vital structures.
Main Methods:
- A lateral approach utilizing grasping forceps for tissue manipulation during uniportal major lung resection.
- Dissection of the hilum from the 6th intercostal space in the mid-axillary line.
Main Results:
- The grasping technique allows for three-dimensional dissection, safely separating tissue from vital organs like blood vessels.
- Improved visualization of anterior and posterior hilar aspects.
- Facilitated passage of staplers through all hilar structures.
Conclusions:
- The grasping technique offers a safe and effective method for uniportal major lung resection.
- This approach enhances surgical precision and safety in complex thoracic procedures.
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