Combined segmentectomy: S1 + S3, right upper lobe.

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Pulmonary Medicine

Background:

• Lesions near segment borders in pulmonary segmentectomy pose a challenge, potentially necessitating a lobectomy.
• Bisegmentectomy, the resection of two adjacent segments, offers an alternative to lobectomy for complete resection with adequate margins.
• The anterior multiport thoracoscopic approach is effective for combined S1 and S3 segmentectomy of the right upper lobe.

Discussion:

• Minimally invasive pulmonary segmentectomy requires careful planning for lesions adjacent to segment boundaries.
• Bisegmentectomy is a crucial technique to balance oncological safety and lung function preservation.
• The anterior multiport approach facilitates complex bisegmentectomies with optimal visualization.

Key Insights:

• Bisegmentectomy allows for complete resection of tumors near segment borders while avoiding lobectomy.
• The anterior multiport thoracoscopic approach provides systematic and straightforward access for right upper lobe bisegmentectomy (S1+S3).
• This technique maximizes exposure and minimizes dissection, crucial for minimally invasive pulmonary surgery.

Outlook:

• Further research into advanced thoracoscopic techniques for complex bisegmentectomies.
• Evaluating long-term oncological outcomes and lung function after bisegmentectomy.
• Expanding the application of bisegmentectomy for various tumor locations and patient conditions.