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Identifying the intersegmental plane for segmentectomy using the open insufflation technique.

Wei Dai1,2, Na Mei3, Ye Ning1

  • 1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, No. 507 Zhengmin Road, Shanghai, 200433, China.

Journal of Surgical Case Reports
|January 8, 2024
PubMed
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This summary is machine-generated.

Uniportal thoracoscopic segmentectomy using open insufflation effectively identifies the intersegmental plane for pulmonary nodules. This minimally invasive approach demonstrated excellent outcomes with no conversions or 30-day mortality.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Pulmonary Oncology

Background:

  • Accurate identification of the intersegmental plane is crucial for successful pulmonary segmentectomy.
  • Uniportal thoracoscopic surgery offers a minimally invasive alternative for lung resections.

Observation:

  • A case series of 41 patients undergoing uniportal thoracoscopic segmentectomy using the open insufflation method for pulmonary nodules.
  • The open insufflation technique was utilized to precisely identify the intersegmental plane.
  • Patients had a median age of 58 years, with 63.4% being female.

Findings:

  • 80.5% of cases involved malignant pulmonary nodules staged 0-IA2.
  • No conversions to multiportal, open surgery, or lobectomy were required.
Keywords:
intersegmental planeopen insufflation methodpulmonary nodulesegmentectomy

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  • Low morbidity observed: median operative time 84 min, median blood loss 50 ml, median chest tube duration 2 days, and median hospital stay 2 days; one patient (2.4%) had an air leak >5 days, and no 30-day mortality occurred.

    • Implications:

    • Uniportal thoracoscopic segmentectomy with open insufflation is a safe and effective technique for managing pulmonary nodules.
    • This approach facilitates precise dissection, potentially improving oncological outcomes and reducing postoperative complications.
    • The findings support the adoption of this technique in thoracic surgery for selected lung nodule resections.