Complete Video-assisted Thoracoscopic Anatomic Segmentectomy：A Report of 26 Cases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WEN Wei , CHEN Liang , ZHU Quan , HE Zhicheng.

Department of Thoracic and Cardiovascular Surgery，First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，P. R . China;

Corresponding author：

Keywords：

Video-assisted thoracoscopic surgery; 　Anatomy; 　Segmentectomy; 　Cancer

DOI：

10.7507/1007-4848.20130095

Video：

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Objective To evaluate the feasibility and safety of complete video-assisted thoracoscopic surgery （VATS）anatomic segmentectomy. Methods Clinical data of 26 patients with lung diseases who underwent complete VATS anatomic segmentectomy in the First Affiliated Hospital of Nanjing Medical University from November 2010 to July 2011 were retrospectively analyzed. There were 8 male and 18 female patients with their age of 13-81 （53.2±3.1） years. There were 23 patients with pulmonary nodules including 13 patients who underwent direct surgical resection and 10 patients with ground-glass opacity nodules （3 patients received preoperative localization and the other 7 patients received direct surgical　resection）. All the 3 patients with non-nodule pulmonary diseases （bronchiectasis, pulmonary bulla and pulmonary cyst respectively） underwent direct surgical resection. Results All the 26 patients received complete VATS anatomic segme-　ntectomy successfully. The operation time was 150-250 （193.7±7.3） min，and intraoperative blood loss was 10-200 （65.7±12.7） ml. Patients with lung cancer received 4-7 （5.1±0.3） stations of lymph node dissection and the number of lymph node dissection was 4-16 （12.3±0.5） for each patient. There was no in-hospital death or postoperative complication. Postoperative　thoracic drainage time was 3-7 （3.9±0.4） days. All the patients were discharge uneventfully. Lung cancer patients were　followed up for 3-6 months without recurrence or metastasis. Conclusion Complete VATS anatomic segmentectomy is a safe and feasible surgical procedure.

Citation： WEN Wei,CHEN Liang,ZHU Quan,HE Zhicheng.. Complete Video-assisted Thoracoscopic Anatomic Segmentectomy：A Report of 26 Cases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2013, 20(3): 317-319. doi: 10.7507/1007-4848.20130095 Copy

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2.	詹必成，刘建，陈亮，等. 美蓝联合Hookwire术前定位在GGO肺结节中的应用. 中华胸心血管外科杂志， 2011， 27 （12）：753-754.
3.	Schuchert MJ， Kilic A， Pennathur A， et al. Oncologic outcomes after surgical resection of subcentimeter non-small cell lung cancer. Ann Thorac Surg， 2011， 91 （6）：1681-1687.
4.	Nakamoto K， Omori K， Nezu K， et al. Superselective segmentectomy for deep and small pulmonary nodules under the guidance of three-dimensional reconstructed computed tomographic angiography. Ann Thorac Surg， 2010， 89 （3）：877-883.
5.	Okada M， Mimura T， Ikegaki J， et al. A novel video-assisted anatomic　segmentectomy technique：selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg， 2007， 133 （3）：753-758.
6.	Roviaro GC， Rebuffat C， Varoli F， et al. Videoendoscopic thoracic surgery. Int Surg， 1993， 78 （1）：4-9.
7.	Bando T， Miyahara R， Sakai H， et al. A follow-up report on a new method of segmental resection for small-sized early lung cancer. Lung Cancer， 2009， 63 （1）：58-62.
8.	Schuchert MJ， Awais O， Abbas G， et al. Influence of age and IB status after resection of node-negative non-small cell lung cancer. Ann Thorac Surg， 2012， 93 （3）：929-935.
9.	Safety OT. prognosis of limited surgery for octogenarians with non-small-cell lung cancer. Gen Thorac Cardiovasc Surg， 2012， 60 （2）：97-103.
10.	Donahue JM， Morse CR， Wigle DA， et al. Oncologic efficacy of anatomic segmentectomy in stage IA lung cancer patients with T1a tumors. Ann Thorac Surg， 2012， 93 （2）：381-387.
11.	Swanson SJ. Segmentectomy for lung cancer. Semin Thorac Cardiovasc　Surg， 2010， 22 （3）：244-249.
12.	Misaki N， Chang SS， Igai H， et al. New clinically applicable methodfor visualizing adjacent lung segments using an infrared thoracoscopy system. J Thorac Cardiovasc Surg， 2010， 140 （4）：752-756.
13.	Sekine Y， Ko E， Oishi H， et al. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg， 2012， 143 （6）：1330-1335.
14.	Miyasaka Y， Oh S， Takahashi N， et al. Postoperative complications　and respiratory function following segmentectomy of the lung-comparison of the methods of making an inter-segmental plane. Int Cardiovasc Thorac Surg， 2011， 12 （3）：426-429.
15.	Shapiro M， Weiser TS， Wisnivesky JP， et al. Thoracoscopic segmen-　tectomy compares favorably with thoracoscopic lobectomy for patients　with small stage I lung cancer. J Thorac Cardiovasc Surg， 2009， 137（6）：1388-1393.
16.	Fan J， Wang L， Jiang GN， et al. Sublobectomy versus lobectomy for stage I non-small-cell lung cancer， a meta-analysis of published studies. Ann Surg Oncol， 2012， 19 （2）：661-668.
17.	Ramos R， Girard P， Masuet C， et al. Mediastinal lymph node disse-ction in early-stage non-small cell lung cancer：totally thoracoscopic vs thoracotomy. Eur J Cardiothorac Surg， 2012， 41 （6）：1342-1348.
18.	Si YT， Tokuishi K， Anami K， et al. Thoracoscopic segmentectomy for T1 classification of non-small cell lung cancer：a single center experience. Eur J Cardiothorac Surg， 2012， 42 （1）：83-88.

1. 　Schuchert MJ， Abbas G， Awais O， et al. Anatomic segmentectomy for the solitary pulmonary nodule and early-stage lung cancer. Ann Thorac Surg， 2012， 93 （6）：1780-1785.
2. 　詹必成，刘建，陈亮，等. 美蓝联合Hookwire术前定位在GGO肺结节中的应用. 中华胸心血管外科杂志， 2011， 27 （12）：753-754.
3. 　Schuchert MJ， Kilic A， Pennathur A， et al. Oncologic outcomes after surgical resection of subcentimeter non-small cell lung cancer. Ann Thorac Surg， 2011， 91 （6）：1681-1687.
4. 　Nakamoto K， Omori K， Nezu K， et al. Superselective segmentectomy for deep and small pulmonary nodules under the guidance of three-dimensional reconstructed computed tomographic angiography. Ann Thorac Surg， 2010， 89 （3）：877-883.
5. 　Okada M， Mimura T， Ikegaki J， et al. A novel video-assisted anatomic　segmentectomy technique：selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg， 2007， 133 （3）：753-758.
6. 　Roviaro GC， Rebuffat C， Varoli F， et al. Videoendoscopic thoracic surgery. Int Surg， 1993， 78 （1）：4-9.
7. 　Bando T， Miyahara R， Sakai H， et al. A follow-up report on a new method of segmental resection for small-sized early lung cancer. Lung Cancer， 2009， 63 （1）：58-62.
8. 　Schuchert MJ， Awais O， Abbas G， et al. Influence of age and IB status after resection of node-negative non-small cell lung cancer. Ann Thorac Surg， 2012， 93 （3）：929-935.
9. 　Safety OT. prognosis of limited surgery for octogenarians with non-small-cell lung cancer. Gen Thorac Cardiovasc Surg， 2012， 60 （2）：97-103.
10. 　Donahue JM， Morse CR， Wigle DA， et al. Oncologic efficacy of anatomic segmentectomy in stage IA lung cancer patients with T1a tumors. Ann Thorac Surg， 2012， 93 （2）：381-387.
11. 　Swanson SJ. Segmentectomy for lung cancer. Semin Thorac Cardiovasc　Surg， 2010， 22 （3）：244-249.
12. 　Misaki N， Chang SS， Igai H， et al. New clinically applicable methodfor visualizing adjacent lung segments using an infrared thoracoscopy system. J Thorac Cardiovasc Surg， 2010， 140 （4）：752-756.
13. 　Sekine Y， Ko E， Oishi H， et al. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg， 2012， 143 （6）：1330-1335.
14. 　Miyasaka Y， Oh S， Takahashi N， et al. Postoperative complications　and respiratory function following segmentectomy of the lung-comparison of the methods of making an inter-segmental plane. Int Cardiovasc Thorac Surg， 2011， 12 （3）：426-429.
15. 　Shapiro M， Weiser TS， Wisnivesky JP， et al. Thoracoscopic segmen-　tectomy compares favorably with thoracoscopic lobectomy for patients　with small stage I lung cancer. J Thorac Cardiovasc Surg， 2009， 137（6）：1388-1393.
16. 　Fan J， Wang L， Jiang GN， et al. Sublobectomy versus lobectomy for stage I non-small-cell lung cancer， a meta-analysis of published studies. Ann Surg Oncol， 2012， 19 （2）：661-668.
17. 　Ramos R， Girard P， Masuet C， et al. Mediastinal lymph node disse-ction in early-stage non-small cell lung cancer：totally thoracoscopic vs thoracotomy. Eur J Cardiothorac Surg， 2012， 41 （6）：1342-1348.
18. 　Si YT， Tokuishi K， Anami K， et al. Thoracoscopic segmentectomy for T1 classification of non-small cell lung cancer：a single center experience. Eur J Cardiothorac Surg， 2012， 42 （1）：83-88.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Complete Video-assisted Thoracoscopic Anatomic Segmentectomy：A Report of 26 Cases

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