Complete thoracoscopic S9 or S10 segmentectomy through a pulmonary ligament approach Takuma Kikkawa, MD, Masato Kanzaki, MD, PhD, Tamami Isaka, MD, PhD,

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Presentation transcript:

Complete thoracoscopic S9 or S10 segmentectomy through a pulmonary ligament approach Takuma Kikkawa, MD, Masato Kanzaki, MD, PhD, Tamami Isaka, MD, PhD, Takamasa Onuki, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 3, Pages 937-939 (March 2015) DOI: 10.1016/j.jtcvs.2014.10.111 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Three-dimensional model for a patient who underwent posterior basal (S10) segmentectomy of the left lung. Red indicates the pulmonary arteries, blue indicates the pulmonary veins, yellow indicates the trachea and bronchi, and black indicates the tumor. B, The left pulmonary ligament (white arrow) can be seen on chest computed tomography. C, The approach from the pulmonary ligament (light pink) by our technique. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 937-939DOI: (10.1016/j.jtcvs.2014.10.111) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, An image sequence of the visual field when the pulmonary ligament (light pink) was divided by our technique is shown as a 3-dimensional model of the pulmonary vessels and bronchi. B-G, Comparison of the actual surgical field of vision and the 3-dimensional model. B-D, Photographs extracted from digital video data taken during the operation. E-G, Schematic illustrations. Filled circle, Inferior pulmonary vein; filled triangle, stump of the posterior basal vein (V10); filled square, pericardium; filled star, stump of the posterior basal bronchus (B10). Ao, Aorta. The Journal of Thoracic and Cardiovascular Surgery 2015 149, 937-939DOI: (10.1016/j.jtcvs.2014.10.111) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions