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Modified method for distinguishing the intersegmental border for lung segmentectomy

This paper analyzed the results of a modified and simpler technique for distinguishing the intersegmental border during lung segmentectomy surgery. From January 2013 to December 2015, 539 patients with screening‐detected lung nodules <2 cm in maximum diameter underwent anatomic segmentectomy. Wit...

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Detalles Bibliográficos
Autores principales: Wang, Jun, Xu, XinFeng, Wen, Wei, Wu, WeiBing, Zhu, Quan, Chen, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5792723/
https://www.ncbi.nlm.nih.gov/pubmed/29058368
http://dx.doi.org/10.1111/1759-7714.12540
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author Wang, Jun
Xu, XinFeng
Wen, Wei
Wu, WeiBing
Zhu, Quan
Chen, Liang
author_facet Wang, Jun
Xu, XinFeng
Wen, Wei
Wu, WeiBing
Zhu, Quan
Chen, Liang
author_sort Wang, Jun
collection PubMed
description This paper analyzed the results of a modified and simpler technique for distinguishing the intersegmental border during lung segmentectomy surgery. From January 2013 to December 2015, 539 patients with screening‐detected lung nodules <2 cm in maximum diameter underwent anatomic segmentectomy. With the guidance of preoperative three‐dimensional computed tomography bronchography and angiography, the bronchus, artery, and intrasegmental vein of the targeted segment could be precisely dissected under unilateral differential ventilation, and then intersegmental demarcation was confirmed by the modified inflation‐deflation method. The demarcation presented by this method was highly coincident with the real intersegmental border. Dissection along the border between the collapsed and inflated segments using either electrocautery or staples was safe, with almost no air leak or bleeding. This technique is a simple and effective alternative to previously described intersegmental border marking methods.
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spelling pubmed-57927232018-02-12 Modified method for distinguishing the intersegmental border for lung segmentectomy Wang, Jun Xu, XinFeng Wen, Wei Wu, WeiBing Zhu, Quan Chen, Liang Thorac Cancer Technological Note This paper analyzed the results of a modified and simpler technique for distinguishing the intersegmental border during lung segmentectomy surgery. From January 2013 to December 2015, 539 patients with screening‐detected lung nodules <2 cm in maximum diameter underwent anatomic segmentectomy. With the guidance of preoperative three‐dimensional computed tomography bronchography and angiography, the bronchus, artery, and intrasegmental vein of the targeted segment could be precisely dissected under unilateral differential ventilation, and then intersegmental demarcation was confirmed by the modified inflation‐deflation method. The demarcation presented by this method was highly coincident with the real intersegmental border. Dissection along the border between the collapsed and inflated segments using either electrocautery or staples was safe, with almost no air leak or bleeding. This technique is a simple and effective alternative to previously described intersegmental border marking methods. John Wiley & Sons Australia, Ltd 2017-10-23 2018-02 /pmc/articles/PMC5792723/ /pubmed/29058368 http://dx.doi.org/10.1111/1759-7714.12540 Text en © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Technological Note
Wang, Jun
Xu, XinFeng
Wen, Wei
Wu, WeiBing
Zhu, Quan
Chen, Liang
Modified method for distinguishing the intersegmental border for lung segmentectomy
title Modified method for distinguishing the intersegmental border for lung segmentectomy
title_full Modified method for distinguishing the intersegmental border for lung segmentectomy
title_fullStr Modified method for distinguishing the intersegmental border for lung segmentectomy
title_full_unstemmed Modified method for distinguishing the intersegmental border for lung segmentectomy
title_short Modified method for distinguishing the intersegmental border for lung segmentectomy
title_sort modified method for distinguishing the intersegmental border for lung segmentectomy
topic Technological Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5792723/
https://www.ncbi.nlm.nih.gov/pubmed/29058368
http://dx.doi.org/10.1111/1759-7714.12540
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