VATS segmentectomy: past, present, and future

被引：0
作者：
Seshiru Nakazawa
Kimihiro Shimizu
Akira Mogi
Hiroyuki Kuwano
机构：
[1] Gunma University Hospital,Division of General Thoracic Surgery, Integrative Center of General Surgery
来源：
General Thoracic and Cardiovascular Surgery | 2018年 / 66卷
关键词：
Video-assisted thoracoscopic surgery; VATS; Segmentectomy;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Video-assisted thoracoscopic surgery (VATS) has gradually been implemented in thoracic surgery, and the VATS approach has now been extended to technically challenging procedures, such as segmentectomy. The definition of VATS segmentectomy is changing over time, and the repertoire of segmentectomy is getting wider with increasing reports on atypical segmentectomy. VATS segmentectomy bears surgical, oncological, and technical advantages; however, there are still areas of controversy, particularly regarding oncological outcomes. The indication of VATS segmentectomy is diverse and is used for treating lung cancer, metastatic lung tumors, or a variety of nonmalignant diseases. It is particularly valuable for the lung-sparing resection of deeply located small nodules or repeated surgery for multiple lung lesions. VATS segmentectomy requires a thorough analysis of segmental anatomy and a tailored preoperative planning with the assessment of surgical margins. Technical challenges include intraoperative navigation, methods to identify and dissect the intersegmental plane, and the prevention of air leakage. This review will discuss the present state of VATS segmentectomy, with a focus on past studies, current indications and techniques, and future view.
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页码：81 / 90
页数：9
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  • [1] Masuda M(2015)Thoracic and cardiovascular surgery in japan during 2013: annual report by the japanese association for thoracic surgery Gen Thorac Cardiovasc Surg 63 670-701
  • [2] Kuwano H(2002)VATS major pulmonary resection revisited–controversies, techniques, and results Ann Thorac Surg 74 615-623
  • [3] Okumura M(2008)The variability of practice in minimally invasive thoracic surgery for pulmonary resections Thorac Surg Clin 18 235-247
  • [4] Arai H(2005)Hybrid surgical approach of video-assisted minithoracotomy for lung cancer: significance of direct visualization on quality of surgery Chest 128 2696-2701
  • [5] Endo S(2011)Technique of thoracoscopic basilar segmentectomy Semin Thorac Cardiovasc Surg 23 64-66
  • [6] Doki Y(2016)Techniques of stapler-based navigational thoracoscopic segmentectomy using virtual assisted lung mapping (VAL-MAP) J Thorac Dis 8 S716-S730
  • [7] Yim AP(2015)Comparison of postoperative pain after different thoracic surgery approaches as measured by electrical stimulation Thorac Cardiovasc Surg 63 519-525
  • [8] Rocco G(2016)Video-Assisted thoracoscopic surgery is a safe and effective alternative to thoracotomy for anatomical segmentectomy in patients with clinical stage I non-small cell lung cancer Ann Thorac Surg 101 465-472
  • [9] Internullo E(2016)In patients with resectable non-small-cell lung cancer, is video-assisted thoracoscopic segmentectomy an appropriate alternative to video-assisted thoracoscopic lobectomy? Interact Cardiovasc Thorac Surg 23 826-831
  • [10] Cassivi SD(2005)A case-matched study of anatomical segmentectomy versus lobectomy for stage I lung cancer in high-risk patients Eur J Cardiothorac Surg 27 675-679
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