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A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report
BACKGROUND: Thoracoscopic segmentectomy of the lateral and posterior basal segments is extremely technically challenging. Appropriate segmentectomy requires exposure and recognition of the branches of the bronchi and pulmonary vessels deep in the lung parenchyma. Although various approaches for thes...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070323/ https://www.ncbi.nlm.nih.gov/pubmed/33894773 http://dx.doi.org/10.1186/s13256-021-02789-3 |
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author | Mitsuboshi, Shota Shidei, Hiroaki Koen, Akihiro Maeda, Hideyuki Aoshima, Hiroe Isaka, Tamami Kanzaki, Masato |
author_facet | Mitsuboshi, Shota Shidei, Hiroaki Koen, Akihiro Maeda, Hideyuki Aoshima, Hiroe Isaka, Tamami Kanzaki, Masato |
author_sort | Mitsuboshi, Shota |
collection | PubMed |
description | BACKGROUND: Thoracoscopic segmentectomy of the lateral and posterior basal segments is extremely technically challenging. Appropriate segmentectomy requires exposure and recognition of the branches of the bronchi and pulmonary vessels deep in the lung parenchyma. Although various approaches for these segmentectomies have been reported, the use of a pulmonary ligament approach is rational because it does not require any interlobar separation. Here, we report a successful case of portal robotic segmentectomy of the lateral and posterior basal segments through the pulmonary ligament approach. CASE PRESENTATION: A 60-year-old Japanese man with a history of low anterior resection for rectal cancer was referred to our department because of a lung nodule. His chest computed tomography revealed a 15-mm tumor in the left posterior basal bronchus. Robotic left S9–10 segmentectomy through the pulmonary ligament was performed with five-port incisions. CONCLUSIONS: An extremely technically challenging thoracoscopic segmentectomy of the lateral and posterior basal segments was performed through the pulmonary ligament using a robotic surgical system. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13256-021-02789-3. |
format | Online Article Text |
id | pubmed-8070323 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80703232021-04-26 A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report Mitsuboshi, Shota Shidei, Hiroaki Koen, Akihiro Maeda, Hideyuki Aoshima, Hiroe Isaka, Tamami Kanzaki, Masato J Med Case Rep Case Report BACKGROUND: Thoracoscopic segmentectomy of the lateral and posterior basal segments is extremely technically challenging. Appropriate segmentectomy requires exposure and recognition of the branches of the bronchi and pulmonary vessels deep in the lung parenchyma. Although various approaches for these segmentectomies have been reported, the use of a pulmonary ligament approach is rational because it does not require any interlobar separation. Here, we report a successful case of portal robotic segmentectomy of the lateral and posterior basal segments through the pulmonary ligament approach. CASE PRESENTATION: A 60-year-old Japanese man with a history of low anterior resection for rectal cancer was referred to our department because of a lung nodule. His chest computed tomography revealed a 15-mm tumor in the left posterior basal bronchus. Robotic left S9–10 segmentectomy through the pulmonary ligament was performed with five-port incisions. CONCLUSIONS: An extremely technically challenging thoracoscopic segmentectomy of the lateral and posterior basal segments was performed through the pulmonary ligament using a robotic surgical system. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13256-021-02789-3. BioMed Central 2021-04-25 /pmc/articles/PMC8070323/ /pubmed/33894773 http://dx.doi.org/10.1186/s13256-021-02789-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Mitsuboshi, Shota Shidei, Hiroaki Koen, Akihiro Maeda, Hideyuki Aoshima, Hiroe Isaka, Tamami Kanzaki, Masato A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title | A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title_full | A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title_fullStr | A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title_full_unstemmed | A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title_short | A pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
title_sort | pulmonary ligament approach for portal robotic segmentectomy of the lateral and posterior basal segments: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070323/ https://www.ncbi.nlm.nih.gov/pubmed/33894773 http://dx.doi.org/10.1186/s13256-021-02789-3 |
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