Uniportal thoracoscopic left posterior basal segmentectomy using a posterior approach

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgery
• Pulmonary Surgery

Background:

• Posterior basal (S10) segmentectomy is a complex and infrequently performed pulmonary procedure.
• Uniportal approaches present unique challenges for thoracic surgeons, especially in S10 segmentectomies.

Observation:

• Preoperative three-dimensional computed tomography/broncho-angiography is crucial for understanding the anatomical relationships of pulmonary vessels and bronchi.
• The "suction-guided stapling" technique facilitates dissection and division of peripheral pulmonary vessels and bronchi during uniportal surgery.

Findings:

• Successful application of two key techniques enabled a challenging uniportal posterior basal (S10) segmentectomy.
• Detailed preoperative imaging and a novel stapling method were instrumental in the procedure's success.

Implications:

• These techniques can enhance the feasibility and safety of uniportal S10 segmentectomies.
• Improved understanding and technical advancements may lead to wider adoption of minimally invasive approaches for complex pulmonary resections.