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Updated: Aug 6, 2025

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III
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Uniportal left S1 + 2 segmentectomy.

Shinya Tane1, Yuki Nishioka2, Yugo Tanaka2

  • 1Division of Thoracic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo Ward, Kobe, 650-0017, Japan. shinyatane@gmail.com.

General Thoracic and Cardiovascular Surgery
|March 22, 2023
PubMed
Summary
This summary is machine-generated.

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Uniportal left S1+2 segmentectomy is a minimally invasive approach for early lung cancer. This technique preserves pulmonary function by targeting the apical segment of the left upper lobe.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Pulmonary Oncology

Background:

  • Left upper segmentectomy is a recognized thoracic surgical procedure.
  • Uniportal video-assisted thoracoscopic surgery (VATS) often employs fissureless techniques.
  • Early non-small cell lung cancer (NSCLC) in the apical segment presents a surgical challenge.

Purpose of the Study:

  • To describe the technique of uniportal left S1+2 segmentectomy.
  • To present this approach as a lung-sparing alternative for early NSCLC.
  • To highlight the suitability of this technique within a unidirectional VATS approach.

Main Methods:

  • Uniportal left S1+2 segmentectomy performed anteriorly.
  • Dissection of vasculature, bronchus, and intersegmental plane.
Keywords:
S1 + 2SegmentectomyUniportal VATS

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  • Integration with fissureless VATS techniques.
  • Main Results:

    • Successful application of uniportal left S1+2 segmentectomy.
    • Demonstrated potential for preserving pulmonary function compared to tri-segmentectomy.
    • Facilitated minimally invasive treatment for apical NSCLC.

    Conclusions:

    • Uniportal left S1+2 segmentectomy is a viable, lung-sparing option for early NSCLC.
    • The unidirectional approach aligns well with fissureless VATS.
    • This technique offers a minimally invasive alternative to preserve lung function.