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-  2016 

Three-dimensional computed tomography bronchography and angiography in the preoperative evaluation of thoracoscopic segmentectomy and subsegmentectomy

DOI: 10.21037/jtd.2016.09.43

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Abstract:

In recent years pulmonary segmentectomy has been widely used for early stage non-small cell lung cancer (NSCLC). Compared with lobectomy, segmentectomy is associated with equivalent oncologic outcomes in stage IA (T1aN0M0) NSCLC (1-3), with the advantage of preserving pulmonary function and reducing postoperative complications (4,5). The common segmentectomies reported previously were lingular, left upper division, superior, and basical segmentectomy (6,7). The technique of this series of segmentectomies is similar to lobectomy. Most other types of segmentectomies are technically more sophisticated than lobectomy (8,9), due to the complicated anatomical variations of segmental bronchus and vessels. The technical difficulties of thoracoscopic anatomical segmentectomy includes confirmation of the nodule locations, identification of the targeted structures, preservation of the intersegmental veins, division of the intersegmental demarcation and ensurance of the surgical margin

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