Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy

Thoracoscopic right medial-basal (S7) segmentectomy is technically challenging due to its small size, depth, and anatomical complexity, especially through a uniportal thoracoscopic approach because of the limited angulation of the surgical instruments or staplers used. Herein, we report a successful...

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Main Authors: Hitoshi Igai, MD, PhD, Akinobu Ida, MD, Kazuki Numajiri, MD, Kazuhito Nii, MD, PhD, Mitsuhiro Kamiyoshihara, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Annals of Thoracic Surgery Short Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2772993124003838
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author Hitoshi Igai, MD, PhD
Akinobu Ida, MD
Kazuki Numajiri, MD
Kazuhito Nii, MD, PhD
Mitsuhiro Kamiyoshihara, MD, PhD
author_facet Hitoshi Igai, MD, PhD
Akinobu Ida, MD
Kazuki Numajiri, MD
Kazuhito Nii, MD, PhD
Mitsuhiro Kamiyoshihara, MD, PhD
author_sort Hitoshi Igai, MD, PhD
collection DOAJ
description Thoracoscopic right medial-basal (S7) segmentectomy is technically challenging due to its small size, depth, and anatomical complexity, especially through a uniportal thoracoscopic approach because of the limited angulation of the surgical instruments or staplers used. Herein, we report a successful case of right S7 segmentectomy through a uniportal approach with sufficient surgical margin. Key aspects are to mobilize the lung by dissecting the pulmonary ligament, dividing a fissure, and exposing the pulmonary vein branches to the periphery, which allowed us to perform smooth and safe stapling through the single skin incision.
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institution OA Journals
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publishDate 2025-03-01
publisher Elsevier
record_format Article
series Annals of Thoracic Surgery Short Reports
spelling doaj-art-881dcfaa50fd4d3fac407ff687bee50c2025-08-20T02:00:32ZengElsevierAnnals of Thoracic Surgery Short Reports2772-99312025-03-013117918210.1016/j.atssr.2024.09.022Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) SegmentectomyHitoshi Igai, MD, PhD0Akinobu Ida, MD1Kazuki Numajiri, MD2Kazuhito Nii, MD, PhD3Mitsuhiro Kamiyoshihara, MD, PhD4Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Gunma, Japan; Address correspondence to Dr Igai, Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, 389-1, Asakura-cho, Maebashi, Gunma 371-0811, Japan.Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Gunma, JapanDepartment of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Gunma, JapanDepartment of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Gunma, JapanDepartment of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Gunma, JapanThoracoscopic right medial-basal (S7) segmentectomy is technically challenging due to its small size, depth, and anatomical complexity, especially through a uniportal thoracoscopic approach because of the limited angulation of the surgical instruments or staplers used. Herein, we report a successful case of right S7 segmentectomy through a uniportal approach with sufficient surgical margin. Key aspects are to mobilize the lung by dissecting the pulmonary ligament, dividing a fissure, and exposing the pulmonary vein branches to the periphery, which allowed us to perform smooth and safe stapling through the single skin incision.http://www.sciencedirect.com/science/article/pii/S2772993124003838
spellingShingle Hitoshi Igai, MD, PhD
Akinobu Ida, MD
Kazuki Numajiri, MD
Kazuhito Nii, MD, PhD
Mitsuhiro Kamiyoshihara, MD, PhD
Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
Annals of Thoracic Surgery Short Reports
title Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
title_full Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
title_fullStr Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
title_full_unstemmed Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
title_short Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy
title_sort feasibility of uniportal thoracoscopic right medial basal s7 segmentectomy
url http://www.sciencedirect.com/science/article/pii/S2772993124003838
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