19 results on '"anatomic segmentectomy"'
Search Results
2. Anatomical resection for right B3 downwards-shifting malformation.
- Author
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Miura, Kentaro, Shimizu, Kimihiro, Mishima, Shuji, Matsuoka, Shunichiro, Eguchi, Takashi, and Hamanaka, Kazutoshi
- Abstract
The right B
3 downwards-shifting malformation is rare. This malformation often leads to the following complications: abnormal pulmonary arteries that accompany the downward-displaced B3 , and complete fusion of the upper and middle lobes into one lobe, with no horizonal fissure. When performing pulmonary anatomical resection in the right upper or middle lobes in patients with this malformation, careful preoperative planning and surgical technique are required, with which the surgeon should be familiar. Herein, we present the anatomical features necessary for anatomical resection of the right B3 downwards-shifting malformation based on our technical experiences with anatomic segmentectomy and lobectomy techniques. [ABSTRACT FROM AUTHOR]- Published
- 2023
- Full Text
- View/download PDF
3. Thoracoscopic segmentectomy versus lobectomy: A propensity score–matched analysisCentral MessagePerspective
- Author
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Julio Sesma, MD, Sergio Bolufer, MD, PhD, Antonio García-Valentín, MD, PhD, Raúl Embún, MD, PhD, Íker Javier López, MD, PhD, Nicolás Moreno-Mata, MD, PhD, Unai Jiménez, MD, Florentino Hernando Trancho, MD, PhD, Antonio Eduardo Martín-Ucar, MD, Juana Gallar, MD, PhD, Raul Embun, Iñigo Royo-Crespo, José Luis Recuero Díaz, Sergio Bolufer, Julio Sesma, Sergi Call, Miguel Congregado, David Gómez-de Antonio, Marcelo F. Jimenez, Nicolas Moreno-Mata, Borja Aguinagalde, Sergio Amor-Alonso, Miguel Jesús Arrarás, Ana Isabel Blanco Orozco, Marc Boada, Alberto Cabañero Sánchez, Isabel Cal Vázquez, Ángel Cilleruelo Ramos, Silvana Crowley Carrasco, Elena Fernández-Martín, Santiago García-Barajas, Maria Dolores García-Jiménez, Jose María García-Prim, Jose Alberto Garcia-Salcedo, Juan José Gelbenzu-Zazpe, Carlos Fernando Giraldo-Ospina, María Teresa Gómez Hernández, Jorge Hernández, Jennifer D. Illana Wolf, Alberto Jauregui Abularach, Unai Jiménez, Iker López Sanz, Néstor J. Martínez-Hernández, Elisabeth Martínez-Téllez, Lucía Milla Collado, Roberto Mongil Poce, Francisco Javier Moradiellos-Díez, Ramón Moreno-Balsalobre, Sergio B. Moreno Merino, Carme Obiols, Florencio Quero-Valenzuela, María Elena Ramírez-Gil, Ricard Ramos-Izquierdo, Eduardo Rivo, Alberto Rodríguez-Fuster, Rafael Rojo-Marcos, David Sanchez-Lorente, Laura Sanchez Moreno, Carlos Simón, Juan Carlos Trujillo-Reyes, and Florentino Hernando Trancho
- Subjects
anatomic segmentectomy ,lobectomy ,lung cancer ,sublobar resection ,thoracoscopy ,VATS ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 ,Surgery ,RD1-811 - Abstract
Objectives: The aim of this study is to compare the postoperative complications, perioperative course, and survival among patients from the multicentric Spanish Video-assisted Thoracic Surgery Group database who received video-assisted thoracic surgery lobectomy or video-assisted thoracic surgery anatomic segmentectomy. Methods: From December 2016 to March 2018, a total of 2250 patients were collected from 33 centers. Overall analysis (video-assisted thoracic surgery lobectomy = 2070; video-assisted thoracic surgery anatomic segmentectomy = 180) and propensity score–matched adjusted analysis (video-assisted thoracic surgery lobectomy = 97; video-assisted thoracic surgery anatomic segmentectomy = 97) were performed to compare postoperative results. Kaplan–Meier and competing risks method were used to compare survival. Results: In the overall analysis, video-assisted thoracic surgery anatomic segmentectomy showed a lower incidence of respiratory complications (relative risk, 0.56; confidence interval, 0.37-0.83; P = .002), lower postoperative prolonged air leak (relative risk, 0.42; 95% confidence interval, 0.23-0.78; P = .003), and shorter median postoperative stay (4.8 vs 6.2 days; P = .004) than video-assisted thoracic surgery lobectomy. After propensity score–matched analysis, prolonged air leak remained significantly lower in video-assisted thoracic surgery anatomic segmentectomy (relative risk, 0.33; 95% confidence interval, 0.12-0.89; P = .02). Kaplan–Meier and competing risk curves showed no differences during the 3-year follow-up (median follow-up in months: 24.4; interquartile range, 20.8-28.3) in terms of overall survival (hazard ratio, 0.73; 95% confidence interval, 0.45-1.7; P = .2), tumor progression–related mortality (subdistribution hazard ratio, 0.41; 95% confidence interval, 0.11-1.57; P = .2), and disease-free survival (subdistribution hazard ratio, 0.73; 95% confidence interval, 0.35-1.51; P = .4) between groups. Conclusions: Video-assisted thoracic surgery segmentectomy showed results similar to lobectomy in terms of postoperative outcomes and midterm survival. In addition, a lower incidence of prolonged air leak was found in patients who underwent video-assisted thoracic surgery anatomic segmentectomy.
- Published
- 2022
- Full Text
- View/download PDF
4. Anatomical resection for right B3 downwards-shifting malformation
- Author
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Miura, Kentaro, Shimizu, Kimihiro, Mishima, Shuji, Matsuoka, Shunichiro, Eguchi, Takashi, and Hamanaka, Kazutoshi
- Published
- 2023
- Full Text
- View/download PDF
5. Anatomical variants of pulmonary segments and uni-portal thoracoscopic segmentectomy for lung cancer in a patient with Kartagener syndrome: a case report.
- Author
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Zhou, Di, Tian, Ye, Lu, Yao, and Yang, Xueying
- Abstract
Situs inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS
1 ). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS1 and a partial excision to the left middle lobe with bronchiectasis through a single 3 cm length incision. We believe that the case can give surgeons some experience and inspiration. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
6. Anatomic trisegmentectomy: An alternative treatment for huge or multiple hepatocellular carcinoma of right liver.
- Author
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Jia, Changku, Weng, Jie, Qin, Qifan, Chen, Youke, Huang, Xiaolong, and Fu, Yu
- Subjects
- *
HEPATECTOMY , *LIVER cancer , *LIVER failure , *PREOPERATIVE care , *LIVER radiography - Abstract
Background The patients with huge (≥10 cm) or multiple hepatocellular carcinoma (HCC) in the right liver and insufficient size of the remnant left liver can not be performed an operation of right hemihepatectomy because of that liver failure will occur post operation. We designed anatomic trisegmentectomy in right liver to increase the ratio of future liver remnant volume (%FLRV), thus increasing resectability of huge or multiple HCC. Methods Thirteen patients were analyzed by preoperative CT scan for liver and tumor volumetries. If the right hemihepatectomy was done, %FLRV would be at the range of 29.6%–37.5%. However, if trisegmentectomy was done, %FLRV would increase by an average of 14.0%. So patients will not undergo postoperative liver failure due to sufficient %FLRV. Therefore, we designed anatomic trisegmentectomy, with retention of segment 5 or segment 8, to increase %FLRV and increase the resectability for huge or multiple HCC. Results After trisegmentectomy, the inflow and outflow of remnant liver were maintained well. Severe complications and mortality were not happened post operation. Of the 13 patients, 10 survived up to now. Of the 10 living cases, postoperative lung metastasis was found in 2 and intrahepatic recurrence was found in 1. These 3 patients survive with tumor after comprehensive therapies including oral administration of Sorafenib. Conclusion Compared to right hemihepatectomy, anatomic trisegmentectomy in right liver guarantees the maximum preservation of %FLRV to increase the resectability of huge or multiple HCC, thus improving the overall resection rate. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
7. Bibliometric Analysis of 50 Most Cited Articles Comparing Lobectomy with Sublobar Resection
- Author
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Tekneci, Ahmet Kayahan, Ozgur, Gizem Kececi, Akcam, Tevfik Ilker, and Cagirici, Ufuk
- Subjects
wedge resection ,Limited Resection ,Oncologic Outcomes ,Survival ,Solitary Pulmonary Nodule ,Elderly-Patients ,Anatomic Segmentectomy ,lung cancer ,Less ,Lobar ,Cm ,Cell Lung-Cancer ,bibliometrics ,sublobar resection - Abstract
Background Recent years have seen an increase in the number of studies of the sublobar resection approach in non-small cell lung cancer (NSCLC) surgery. The purpose of this bibliometric analysis is to assess the significance and impact of articles comparing sublobar resection and lobectomy in NSCLC surgery. Material and Methods The Web of Science database was searched to identify studies comparing sublobar resection and lobectomy in NSCLC surgery published between 2005 and 2020 (accessed: September 11, 2020). The 50 most cited articles were analyzed by years, countries, authors, authors' affiliations, journals, journals' addresses, and impact factors. Results The bibliometric analysis revealed that the most cited article had 443 citations, while the total number of citations of all articles was 2,820. The mean number of citations, in turn, was 56.4 +/- 75.62 (1-443) times. The highest number of publications over the past 15 years was in 2016, with eight articles. The Annals of Thoracic Surgery ( n = 10; 20%) had the highest number of publications on the list. The articles included in the present study were mostly ( n = 35, 70%) published in U.S. journals. While multiple subject matters and analyses were presented by many studies, survival was the topic of greatest interest, with 37 (74%) studies. Conclusion This study revealed that interest in studies comparing sublobar resection with lobectomy has increased in recent years. It also presents both quantitative and qualitative analyses of the most cited articles in the literature on this topic. Therefore, it can serve as a guide for researchers.
- Published
- 2022
8. Indications and methods of surgical treatment of solitary pulmonary nodule.
- Author
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Karathanassis, John, Potaris, Konstantinos, Karathanassis, Aphrodite, Konstantinou, Marios, and Syrigos, Konstantinos
- Subjects
- *
PULMONARY nodules , *LUNG tumors , *DIAGNOSIS - Abstract
PURPOSE : The diagnosis and treatment of solitary pulmonary nodule (SPN) is a common but complex clinical problem, for which the investigation of the role of thoracic surgery comprised the purpose of the present study. METHODS : By computerized literature search we tried to answer three questions: a) when is surgical resection (diagnostic or therapeutic) of SPN is indicated? b) what type of surgical resection is required {lobectomy or limited (sublobar) lung resection such as wedge resection or anatomic segmentectomy} for malignant SPN? and c) by what method (VATS or open thoracotomy) should be performed biopsy-resection of SPN? RESULTS : We noted that the increased probability for malignancy of a SPN as reflected by the existing imaging methods and the failure to set histological diagnosis with modern invasive but non-surgical methods are the main indications for thoracic surgical intervention (diagnostic or therapeutic). About whether lobectomy or sublobar resection is the best surgical treatment approach, we found that although they have comparable survival rates, wedge resection is associated with fewer complications, shorter hospitalization but higher percentages of local recurrences in contrast to anatomic segmentectomy which has similar results to those of lobectomy. As to whether video-assisted thoracic surgery or open thoracotomy is the best diagnostic or therapeutic surgical approach for a SPN, they exhibit comparable results, both diagnostically and therapeutically. CONCLUSIONS : More randomized controlled trials are needed for comparing videoassisted thoracic surgery with open thoracotomy and the various types of surgical resection of SPN. [ABSTRACT FROM AUTHOR]
- Published
- 2016
9. Anatomical variants of pulmonary segments and uni-portal thoracoscopic segmentectomy for lung cancer in a patient with Kartagener syndrome: a case report
- Author
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Xueying Yang, Ye Tian, Di Zhou, and Yao Lu
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Anatomic segmentectomy ,Lung Neoplasms ,Case Report ,Situs inversus totalis ,VATS ,030204 cardiovascular system & hematology ,Mastectomy, Segmental ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Lung cancer ,Pneumonectomy ,Lung ,Aged ,Bronchiectasis ,Kartagener syndrome ,business.industry ,Kartagener Syndrome ,General Medicine ,medicine.disease ,Sagittal plane ,Cardiac surgery ,Situs inversus ,medicine.anatomical_structure ,030228 respiratory system ,Cardiothoracic surgery ,Surgery ,Female ,Radiology ,Cardiology and Cardiovascular Medicine ,Complication ,business - Abstract
Situs inversus totalis (SIT) is an extremely uncommon congenital disease where the major organs of the body are transposed through the sagittal plane. Kartagener syndrome is a complication of SIT with immotility of bronchial cilia, bronchiectasis, and chronic sinusitis. There is no report describing patients with Kartagener syndrome who accept uni-portal segmentectomies for lung cancer in past studies. Here we report a 74-year-old female patient with both Kartagener syndrome and a small early-stage lung cancer lesion located in the apical segment of the left upper lobe (LS1). The pulmonary segment anatomy of the left upper lobe in this case, which had very rare variants, was presented and interpreted in detail. This patient underwent an anatomic segmentectomy to the LS1 and a partial excision to the left middle lobe with bronchiectasis through a single 3 cm length incision. We believe that the case can give surgeons some experience and inspiration. Supplementary Information The online version contains supplementary material available at 10.1007/s11748-021-01685-3.
- Published
- 2021
10. Planning of anatomical liver segmentectomy and subsegmentectomy with 3-dimensional simulation software.
- Author
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Takamoto, Takeshi, Hashimoto, Takuya, Ogata, Satoshi, Inoue, Kazuto, Maruyama, Yoshikazu, Miyazaki, Akiyuki, and Makuuchi, Masatoshi
- Subjects
- *
SIMULATION software , *LIVER surgery , *HEPATECTOMY , *STAINS & staining (Microscopy) , *SURGEONS - Abstract
BACKGROUND: The aim of this study was to evaluate whether 3-dimensional (3D) simulation software is applicable to and useful for anatomic liver segmentectomy and subsegmentectomy. METHODS: A prospective study of 83 consecutive patients who underwent anatomic segmentectomy or subsegmentectomy using the puncture method was performed. All patients underwent 3D simulation analysis (SA) preoperatively for planning operative procedures. The clinical information acquired by 3D SA and the consistency of virtual and real hepatectomy were evaluated. RESULTS: The time needed for completing 3D SA was 18.3 ± .7 minutes. Three-dimensional SA proposed resection of multiple segments or subsegments in 29 patients (35%). It also helped complement the resection line in 26 patients (31%) who lacked a bold staining area on the liver surface. The volume of segment or subsegment calculated by 3D SA was correlated with the actual resected specimen (R2 = .9942, P <.01). The bordering hepatic veins were clearly exposed in 71 patients (86%), in accordance with completed drawings by 3D SA. CONCLUSIONS: Three-dimensional SA showed accurate completed drawings and assisted liver surgeons in planning and executing anatomic segmentectomy and subsegmentectomy. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
11. Thoracoscopic segmentectomy versus lobectomy: A propensity score-matched analysis.
- Author
-
Sesma J, Bolufer S, García-Valentín A, Embún R, López ÍJ, Moreno-Mata N, Jiménez U, Trancho FH, Martín-Ucar AE, and Gallar J
- Abstract
Objectives: The aim of this study is to compare the postoperative complications, perioperative course, and survival among patients from the multicentric Spanish Video-assisted Thoracic Surgery Group database who received video-assisted thoracic surgery lobectomy or video-assisted thoracic surgery anatomic segmentectomy., Methods: From December 2016 to March 2018, a total of 2250 patients were collected from 33 centers. Overall analysis (video-assisted thoracic surgery lobectomy = 2070; video-assisted thoracic surgery anatomic segmentectomy = 180) and propensity score-matched adjusted analysis (video-assisted thoracic surgery lobectomy = 97; video-assisted thoracic surgery anatomic segmentectomy = 97) were performed to compare postoperative results. Kaplan-Meier and competing risks method were used to compare survival., Results: In the overall analysis, video-assisted thoracic surgery anatomic segmentectomy showed a lower incidence of respiratory complications (relative risk, 0.56; confidence interval, 0.37-0.83; P = .002), lower postoperative prolonged air leak (relative risk, 0.42; 95% confidence interval, 0.23-0.78; P = .003), and shorter median postoperative stay (4.8 vs 6.2 days; P = .004) than video-assisted thoracic surgery lobectomy. After propensity score-matched analysis, prolonged air leak remained significantly lower in video-assisted thoracic surgery anatomic segmentectomy (relative risk, 0.33; 95% confidence interval, 0.12-0.89; P = .02). Kaplan-Meier and competing risk curves showed no differences during the 3-year follow-up (median follow-up in months: 24.4; interquartile range, 20.8-28.3) in terms of overall survival (hazard ratio, 0.73; 95% confidence interval, 0.45-1.7; P = .2), tumor progression-related mortality (subdistribution hazard ratio, 0.41; 95% confidence interval, 0.11-1.57; P = .2), and disease-free survival (subdistribution hazard ratio, 0.73; 95% confidence interval, 0.35-1.51; P = .4) between groups., Conclusions: Video-assisted thoracic surgery segmentectomy showed results similar to lobectomy in terms of postoperative outcomes and midterm survival. In addition, a lower incidence of prolonged air leak was found in patients who underwent video-assisted thoracic surgery anatomic segmentectomy., (© 2022 The Author(s).)
- Published
- 2022
- Full Text
- View/download PDF
12. Outcomes with segmentectomy versus lobectomy in patients with clinical T1cN0M0 non–small cell lung cancer.
- Author
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Chan, Ernest G., Chan, Patrick G., Mazur, Summer N., Normolle, Daniel P., Luketich, James D., Landreneau, Rodney J., and Schuchert, Matthew J.
- Abstract
We hypothesize that segmentectomy is associated with similar recurrence-free and overall survival when compared with lobectomy in the setting of patients with clinical T1cN0M0 non–small cell lung cancer (NSCLC; >2-3 cm), as defined by the American Joint Committee on Cancer 8th edition staging system. We performed a single-institution retrospective study identifying patients undergoing segmentectomy (90) versus lobectomy (279) for T1c NSCLC from January 1, 2003, to December 31, 2016. Univariate, multivariable, and propensity score–weighted analyses were performed to analyze the following endpoints: freedom from recurrence, overall survival, and time to recurrence. Patients undergoing segmentectomy were older than patients undergoing lobectomy (71.5 vs 68.8, respectively, P =.02). There were no differences in incidence of major complications (12.4% vs 11.7%, P =.85), hospital length of stay (6.2 vs 7 days, P =.19), and mortality at 30 (1.1% vs 1.7%, P = 1) and 90 days (2.2% vs 2.3%, P = 1). In addition, there were no statistical differences in locoregional (12.2% vs 8.6%, P =.408), distant (11.1% vs 13.9%, P =.716), or overall recurrence (23.3% vs 22.5%, P = 1), as well as 5-year freedom from recurrence (68.6% vs 75.8%, P =.5) or 5-year survival (57.8% vs 61.0%, P =.9). Propensity score–matched analysis found no differences in overall survival (hazard ratio [HR], 1.034; P =.764), recurrence-free survival (HR, 1.168; P =.1391), or time to recurrence (HR, 1.053; P =.7462). In the setting of clinical T1cN0M0 NSCLC, anatomic segmentectomy was not associated with significant differences in recurrence-free or overall survival at 5 years. Further prospective randomized trials are needed to corroborate the expansion of the role of anatomic segmentectomy to all American Joint Committee on Cancer 8th Edition Stage 1A NSCLC. Kaplan–Meier curves depicting time to recurrence in an unmatched cohort of anatomic segmentectomy (red line , n = 90) versus lobectomy (black line , n = 279) for clinical T1cN0M0 non–small cell lung cancer. 95% confidence intervals are represented by the shaded areas (segmentectomy is shown in red , lobectomy in gray). The difference in time to recurrence was not statistically significant (P =.83). NSCLC , Non–small cell lung cancer. [Display omitted] [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
13. Anatomic Liver Resection of Segments 6, 7, and 8 by the Method of Selective Occlusion of Hepatic Inflow.
- Author
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Jia, Changku, Wang, Haiyang, Chen, Youke, Fu, Yu, and Liu, Honglei
- Subjects
- *
LIVER surgery , *OPERATIVE surgery , *LIVER , *BODY weight , *HEPATOCELLULAR carcinoma , *MEDICAL care , *PATIENTS , *TOMOGRAPHY , *ANATOMY , *DISEASE risk factors - Abstract
Anatomic liver resection not only enables enough tumor-free resection margin but also guarantees maximum preservation of remaining normal liver tissue. We report herein a hepatocellular carcinoma patient who underwent successful anatomic liver resection of segments 6, 7, and 8 by the method of selective occlusion of hepatic inflow. Multiple tumors were found in segments 6, 7, and 8 by computed tomographic (CT) scanning. CT volumetry analyzed that his left hemi-liver volume was less than the minimal limit of safe survival. Therefore, we planned to perform segment 5 remaining, anatomic liver resection of segments 6, 7, and 8 to guarantee the maximum preservation of remaining normal liver tissue. Selective occlusion of hepatic inflow was creatively used twice in this case to divide right hemi-liver Glissonean pedicle and segments 6 and 7 Glissonean pedicle, respectively. Thus, the resection line was determined, and anatomic liver resection of segments 6, 7, and 8 was completed. Selective right hemi-liver Glissonean pedicle occlusion was used, while parenchymal transection was between segments 6 and 5 and between segments 8 and 5. Therefore, liver ischemia reperfusion injury and homodynamic instability were maximally reduced during operation. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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14. Anatomical liver resection of segment 4a en bloc with the caudate lobe
- Author
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Silvestrini, Nicola, Coppola, Alessandro, Ardito, Francesco, Nuzzo, Gennaro, and Giuliante, Felice
- Subjects
Male ,Settore MED/18 - CHIRURGIA GENERALE ,Liver Neoplasms ,anatomic segmentectomy ,liver resection ,Hepatectomy ,Humans ,Adenocarcinoma ,Middle Aged ,Colorectal Neoplasms ,ultrasound-guided liver resection ,colorectal liver metastasis - Abstract
Anatomical segmentectomy is the complete resection of an area supplied by a segmental portal branch. Among segmentectomies, isolated segmentectomy 4 is a technically demanding procedure because there are two transection planes: on the left side along the umbilical fissure and, on the right side, along the middle hepatic vein. Although there are several reports on anatomic segmentectomies, only few regard the anatomic segmentectomy 4a. We report here the case of a 60-year-old man who underwent anatomical segmentectomy 4a en bloc with the caudate lobe to resect a colorectal liver metastasis located in segment 4a and involving the paracaval portion of the caudate lobe. This type of procedure was planned in order to maximize the postoperative functional hepatic reserve, thereby reducing the risk of postoperative liver failure and ultimately allowing the possibility for future repeat hepatectomy in case of recurrence. J. Surg. Oncol. 2016;113:665-667. © 2016 Wiley Periodicals, Inc.
- Published
- 2016
15. Situs inversus uniportal video-assisted thoracoscopic right anatomic segmentectomy S1-S2 and S6.
- Author
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Gonzalez-Rivas D, Soultanis K, Zheng H, and Zhu Y
- Abstract
Situs inversus totalis (SIT) is an extremely rare condition where the major organs are reversed or mirrored from their usual positions. There are few reports in the literature describing thoracoscopic major surgery in patients with this unusual anomaly. Here we report a 48-year old female with two small early stage lung cancer lesions located in the apicoposterior segment of the right upper lobe and in the dorsal segment of the right lower lobe. The patient underwent a uniportal approach through a 3 cm incision and combined anatomic segmentectomies in the upper and lower lobes. The postoperative course was uneventful. This is the first report of an anatomic segmentectomy in a patient with a situs inversus condition., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
- Published
- 2018
- Full Text
- View/download PDF
16. Microinvasive segmentectomy in a sculpting manner: a case of VATS left S 1+2 segmentectomy.
- Author
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Xue L and Yuan Y
- Abstract
A ground-glass opacity (GGO) lesion was discovered in a 64-year-old female 1 year ago. One month before administration, a follow-up CT showed the lesion in the apical segment of left upper lobe had increased from 8 to 11 mm in diameter. The lesion was diagnosed to be cT1aN0M0 non-small cell lung cancer (NSCLC) and a 3-port video-assisted thoracic surgery (VATS) anatomic segmentectomy was performed. Intraoperative frozen sections revealed a microinvasive adenocarcinoma. Systematic lymph node dissection was then carried out. The final pathological result showed a pT1aN0M0 (Ia) adenocarcinoma., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
- Published
- 2017
- Full Text
- View/download PDF
17. Uniportal anatomic combined unusual segmentectomies.
- Author
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González-Rivas D, Lirio F, and Sesma J
- Abstract
Nowadays, sublobar anatomic resections are gaining momentum as a valid alternative for early stage lung cancer. Despite being technically demanding, anatomic segmentectomies can be performed by uniportal video-assisted thoracic surgery (VATS) approach to combine the benefits of minimally invasiveness with the maximum lung sparing. This procedure can be even more complex if a combined resection of multiple segments from different lobes has to be done. Here we report five cases of combined and unusual segmentectomies done by the same experienced surgeon in high volume institutions to show uniportal VATS is a feasible approach for these complex resections and to share an excellent educational resource., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
- Published
- 2017
- Full Text
- View/download PDF
18. Anatomic bisegmentectomy for synchronous lung adenocarcinoma.
- Author
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Vieira A and Ugalde Figueroa P
- Abstract
Modern thoracic surgery requires the ability to manage patients with ground glass opacities (GGO). However, due to the lack of a standardize approach in our institution these cases are discussed in the tumor board. We here present our therapeutic rationale in a case of a patient with multiple GGOs, who underwent an en-bloc anatomic bisegmentectomy as surgical treatment for a synchronous lung adenocarcinoma., Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
- Published
- 2017
- Full Text
- View/download PDF
19. Anatomical liver resection of segment 4a en bloc with the caudate lobe.
- Author
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Silvestrini N, Coppola A, Ardito F, Nuzzo G, and Giuliante F
- Subjects
- Humans, Male, Middle Aged, Adenocarcinoma secondary, Adenocarcinoma surgery, Colorectal Neoplasms pathology, Hepatectomy methods, Liver Neoplasms secondary, Liver Neoplasms surgery
- Abstract
Anatomical segmentectomy is the complete resection of an area supplied by a segmental portal branch. Among segmentectomies, isolated segmentectomy 4 is a technically demanding procedure because there are two transection planes: on the left side along the umbilical fissure and, on the right side, along the middle hepatic vein. Although there are several reports on anatomic segmentectomies, only few regard the anatomic segmentectomy 4a. We report here the case of a 60-year-old man who underwent anatomical segmentectomy 4a en bloc with the caudate lobe to resect a colorectal liver metastasis located in segment 4a and involving the paracaval portion of the caudate lobe. This type of procedure was planned in order to maximize the postoperative functional hepatic reserve, thereby reducing the risk of postoperative liver failure and ultimately allowing the possibility for future repeat hepatectomy in case of recurrence. J. Surg. Oncol. 2016;113:665-667. © 2016 Wiley Periodicals, Inc., (© 2016 Wiley Periodicals, Inc.)
- Published
- 2016
- Full Text
- View/download PDF
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