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Related Experiment Video

Updated: May 3, 2026

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III

Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III

Published on: February 27, 2009

Combined segmentectomy: S1 + S3, right upper lobe.

George Rakovich¹

¹Hôpital Maisonneuve-Rosemont (University of Montreal) 5415, l'Assomption, Montréal, QC, Canada.

Multimedia Manual of Cardiothoracic Surgery : MMCTS

|September 9, 2024

Summary

This summary is machine-generated.

Performing a bisegmentectomy, the resection of two adjacent lung segments, is a viable solution for lesions near segment borders. This technique avoids a full lobectomy, ensuring complete tumor removal with adequate margins during minimally invasive surgery.

Keywords:

Segmentectomy Uncommon segmentectomy VATS Thoracoscopy

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Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

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Published on: April 11, 2025

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.