No.21-Contest2020 Uniportal VATS Left S1+2 & S3c Segmentectomy

A GGO lesion with maximum diameter 1.2cm is detected in a 42-year old female patient’s left upper lobe one year ago. According to the CT scan and 3D-CTPA, we plan to resect left S1+2&S3c conbined with a part of S3a for preserving pulmonary function and enough margin.A 3.5cm-length incision on 4th intercostal space between mid and posterior axillary line is our approch. The operation is anticlockwise with the begining of the dissection of oblique crack. Therefore, A1+2c,A1+2b are firstly cut off, after which A1+2a,A3c,B3c are exposed and dealt with. B1+2 is cut off at last. In order to ensure the partial excision of S3a, we dissect A3ab to enough length to expose A3a. After exposing the intersegment plane of S1+2&S3c through expanding and collapsing lung with pure oxygen,we firstly deal with the plane between S3c and S3b to the edge of S3a with stapler, after which, we open a part of plane between S1+2 and S3a. Then we cut off the S1+2&S3c and a part of S3a through the using of staple against to the A3a. The frozen section indicates MIA and it is confimed by paraffin section. The biopsy of No.11、12、5、7 shows negtive.

• Category: Segmentectomy,Contest 2020
• Duration: 05:21
• Date:  4 years ago
• Tags:   segmentectomy