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Updated: Jan 29, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Uniportal video-assisted thoracoscopic surgery left upper lobe apicoposterior segmentectomy (S1+2): Step-by-step
Rihards Mikilps-Mikgelbs1,2, Helmuts Bināns1,2, Marina Gaidukova1
1Department of Thoracic Surgery, Centre of TB and Lung Diseases, Riga East University Hospital, Riga, Latvia
Abstract:
Anatomical segmentectomy has been established as a valid surgical option for early-stage lung cancer. However, this procedure could be technically demanding due to the anatomical variability of segmental bronchovascular structures. Misinterpretation of segmental anatomy could result in numerous postoperative complications. The routine use of three-dimensional reconstruction and preoperative planning is recommended to overcome this problem. We present a surgical case of a successfully conducted minimally invasive segmentectomy by utilizing three-dimensional reconstruction and preoperative planning.
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