Stapler-Based Thoracoscopic Basilar Segmentectomy

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Presentation transcript:

Stapler-Based Thoracoscopic Basilar Segmentectomy Keiji Yamanashi, MD, Norihito Okumura, MD, PhD, Yasuhiro Otsuki, MD, Tomoaki Matsuoka, MD The Annals of Thoracic Surgery Volume 104, Issue 5, Pages e399-e402 (November 2017) DOI: 10.1016/j.athoracsur.2017.06.048 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest computed tomography scan showing a small part-solid nodule in the left S9-10 segment (arrow). (B) Sagittal view. The Annals of Thoracic Surgery 2017 104, e399-e402DOI: (10.1016/j.athoracsur.2017.06.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Encircling A9-10. (B) Encircling B9-10 after transecting A9-10. (C) Green color indicates flow of blood containing indocyanine green, and boundary between segments S6, S8, and S9-10 is clear. (D) Dashed line indicates boundary between segments S6 and S8. The B9-10 stump on the specimen side is unclear. The Annals of Thoracic Surgery 2017 104, e399-e402DOI: (10.1016/j.athoracsur.2017.06.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A-D) Division of intersegmental plane using staplers. First, dividing the intersegmental plane between segments S8 and S9-10 on the distal side. (A) Second, dividing the intersegmental plane between segments S6 and S8 along the V6. (B) Third, dividing the intersegmental plane between segments S6 and S9-10. Fourth, dividing the intersegmental plane between segments S8 and S9-10 on the proximal side. (C, D) Segmentectomy completed by stapling. The Annals of Thoracic Surgery 2017 104, e399-e402DOI: (10.1016/j.athoracsur.2017.06.048) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions