Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report
Abstract Background 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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-04-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02211-7 |
| _version_ | 1797845764450287616 |
|---|---|
| author | Masahiro Yanagiya Masaaki Nagano Jun Nakajima |
| author_facet | Masahiro Yanagiya Masaaki Nagano Jun Nakajima |
| author_sort | Masahiro Yanagiya |
| collection | DOAJ |
| description | Abstract Background 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. Case presentation 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. Conclusions The fissureless technique may be a useful option in segmentectomy for a lung with an incomplete interlobar fissure. |
| first_indexed | 2024-04-09T17:45:19Z |
| format | Article |
| id | doaj.art-b233d4d29d074668b844a3a1d015c22d |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-09T17:45:19Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-b233d4d29d074668b844a3a1d015c22d2023-04-16T11:24:49ZengBMCJournal of Cardiothoracic Surgery1749-80902023-04-011811510.1186/s13019-023-02211-7Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case reportMasahiro Yanagiya0Masaaki Nagano1Jun Nakajima2Department of Thoracic Surgery, The University of Tokyo Graduate School of MedicineDepartment of Thoracic Surgery, The University of Tokyo Graduate School of MedicineDepartment of Thoracic Surgery, The University of Tokyo Graduate School of MedicineAbstract Background 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. Case presentation 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. Conclusions The fissureless technique may be a useful option in segmentectomy for a lung with an incomplete interlobar fissure.https://doi.org/10.1186/s13019-023-02211-7Thoracic surgeryLung cancerSegmentectomyRobotic thoracic surgeryRobotic surgery |
| spellingShingle | Masahiro Yanagiya Masaaki Nagano Jun Nakajima Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report Journal of Cardiothoracic Surgery Thoracic surgery Lung cancer Segmentectomy Robotic thoracic surgery Robotic surgery |
| title | Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report |
| title_full | Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report |
| title_fullStr | Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report |
| title_full_unstemmed | Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report |
| title_short | Fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure: a case report |
| title_sort | fissureless technique of robotic left lingular segmentectomy for primary lung cancer with incomplete fissure a case report |
| topic | Thoracic surgery Lung cancer Segmentectomy Robotic thoracic surgery Robotic surgery |
| url | https://doi.org/10.1186/s13019-023-02211-7 |
| work_keys_str_mv | AT masahiroyanagiya fissurelesstechniqueofroboticleftlingularsegmentectomyforprimarylungcancerwithincompletefissureacasereport AT masaakinagano fissurelesstechniqueofroboticleftlingularsegmentectomyforprimarylungcancerwithincompletefissureacasereport AT junnakajima fissurelesstechniqueofroboticleftlingularsegmentectomyforprimarylungcancerwithincompletefissureacasereport |