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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...

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Autores principales: Mitsuboshi, Shota, Shidei, Hiroaki, Koen, Akihiro, Maeda, Hideyuki, Aoshima, Hiroe, Isaka, Tamami, Kanzaki, Masato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
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.
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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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