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Japanese

The Novel Procedure for Thoracoscopic Anatomical Segmentectomy Jun Suzuki 1 , Hiroyuki Oizumi 1 , Hirohisa Kato 1 , Akira Hamada 1 , Hikaru Watarai 1 , Kenta Nakahashi 1 , Satoshi Takamori 1 , Mitsuaki Sadahiro 1 1Department of Surgery Second, Yamagata University Keyword: small-sized peripheral non-small cell lung cancer , thoracoscopic surgery , pulmonary segmentectomy pp.535-542
Published Date 2019/7/1
DOI https://doi.org/10.15106/j_kyobu72_535
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Since 2004, over 300 patients have undergone thoracoscopic segmentectomy without mini-thoracotomy. Thoracoscopic segmentectomy is one of the most complicated surgeries. To perform the complex segmentectomies, pre-operative simulation and 3-dimensional multi-detector computed tomography (3D-CT) are both essential for safely performing operations and for securing adequate surgical margins. Comprehension of the intersegmental and intrasegmental veins to visualize the segmental border facilitates an easier parenchymal dissection. We describe our method and knack for creating an inflation-deflation line for lung segmentectomy that could especially be useful in thoracoscopic procedures for segmentectomy. The 5-year over overall survival, cancer specific survival and recurrence free survival rates were 91.8% (curative intent 98.1% versus compromised 74.6%), 100% and 98.1% (curative intent 100% versus compromised 93.3%). According to these technical aspects, our method of thoracoscopic segmentectomy is acceptable for selective patient.


© Nankodo Co., Ltd., 2019

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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