Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report

Pulmonary segmentectomy for a lung with an incomplete interlobar fissure may complicate persistent air leakage. The fissureless technique is often used in lobectomy to prevent persistent air leakage. We herein describe successful use of the fissureless technique for segmentectomy with the aid of a r...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2023-04, Vol.18 (1), p.125-125, Article 125
Main Authors: Yanagiya, Masahiro, Nagano, Masaaki, Nakajima, Jun
Format: Article
Language:English
Subjects:
Air leakage
Bronchoscopy
Bronchus
Case Report
Case reports
Dissection
Health aspects
Humans
Image reconstruction
Leakage
Localization
Lung - surgery
Lung cancer
Lung Neoplasms - surgery
Lymphatic system
Male
Methods
Middle Aged
Parenchyma
Patients
Pneumonectomy - methods
Pulmonary arteries
Pulmonary artery
Pulmonary Artery - surgery
Robotic surgery
Robotic Surgical Procedures
Robotic thoracic surgery
Segmentectomy
Surgeons
Thoracic surgery
Tomography
Veins & arteries
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Summary:Pulmonary segmentectomy for a lung with an incomplete interlobar fissure may complicate persistent air leakage. The fissureless technique is often used in lobectomy to prevent persistent air leakage. We herein describe successful use of the fissureless technique for segmentectomy with the aid of a robotic surgical system. A 63-year-old man was clinically diagnosed with early-stage lung cancer for which lingular segmentectomy was indicated. A preoperative image revealed a lung with an incomplete fissure. Based on three-dimensional reconstruction imaging, we planned to divide the hilum structures in the order of the pulmonary vein, bronchus, and pulmonary artery and finally resect the lung parenchyma by dividing the intersegmental plane and interlobar fissure. This fissureless technique was successfully conducted using a robotic surgical system. The patient did not develop persistent air leakage and was alive without recurrence 1 year after segmentectomy. The fissureless technique may be a useful option in segmentectomy for a lung with an incomplete interlobar fissure.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-023-02211-7