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Related Experiment Video

Updated: Oct 8, 2025

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Completion lobectomy after anatomical segmentectomy.

Satoshi Takamori1, Hiroyuki Oizumi1, Jun Suzuki1

  • 1Department of Surgery II, Faculty of Medicine, Yamagata University, Yamagata, Japan.

Interactive Cardiovascular and Thoracic Surgery
|December 28, 2021
PubMed
Summary

Completion lobectomy after anatomical segmentectomy is feasible with acceptable outcomes, despite adhesions. Video-assisted thoracoscopic surgery for completion lobectomy is considered case-by-case.

Keywords:
Completion lobectomySegmentectomyVideo-assisted thoracoscopic surgery

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Oncology

Background:

  • Completion lobectomy (CL) after anatomical segmentectomy presents challenges due to severe hilar adhesions.
  • Potential risks include fatal bleeding and lung injury during CL procedures.

Purpose of the Study:

  • To investigate the perioperative outcomes of completion lobectomy (CL) following anatomical segmentectomy.
  • To assess the safety and feasibility of CL in patients with prior segmentectomy.

Main Methods:

  • Retrospective analysis of 461 patients undergoing anatomical segmentectomy from 2005-2019.
  • Extracted data for 8 patients who subsequently underwent completion lobectomy (CL).
  • Procedures were performed via video-assisted thoracic surgery or thoracotomy.

Main Results:

  • Eight patients underwent CL after segmentectomy, with moderate to severe adhesions present in all cases.
  • Two patients experienced complications (air leakage, arrhythmia); no postoperative mortality or cancer recurrence observed.
  • Median hospitalization was 6 days; all lung cancer patients remained alive and recurrence-free.

Conclusions:

  • Completion lobectomy after anatomical segmentectomy demonstrates acceptable perioperative outcomes despite surgical difficulties.
  • Video-assisted thoracoscopic surgery for CL may be considered selectively based on the initial surgery and patient factors.