Segmentectomy for Early-Stage Lung Cancer: 3D Navigation by Jixian Liu & Da Wu

Author:Jixian Liu & Da Wu
Language: eng
Format: epub
ISBN: 9789819901432
Publisher: Springer Nature Singapore

The operation will dissect V3c, A3b, A3a + c, V3a + b, and B3 following the principle of proceeding “from the shallower to the deeper.”

7.3 Surgery Planning and Procedure

According to CT and preoperative 3D reconstruction, the extended LS3 segmentectomy is undertaken, dissecting from the anterior hilum posteriorly.

7.3.1 Surgical Planning

V3c → A3b → A3a + c → V3a + b → B3 → Extended LS3.

7.3.2 Surgical Procedures

1.

The patient undergoes double-lumen endotracheal intubation, positioned right lateral decubitus. The procedure is completed with two ports: The fourth intercostal in left axillary midline as main operating port and for the video thoracoscope; the sixth intercostal port in posterior axillary line for retraction and assistance.

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