Document Detail


Innovative segmentectomy to remove the posterior segment of the lower lobe (S(10)) of the lung.
MedLine Citation:
PMID:  22075657     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We describe our innovative technique for performing segmentectomy of the posterior segment of the lower lobe of the lung, being segment number 10 (S(10)). In segmentectomy of S(10), it is difficult to identify A(10) from the interlobar fissure because the pulmonary artery to S(10) (A(10)) branches from A(9+10) and runs dorsally and deeply into the lung tissue. Moreover, to reach S(10) from the interlobar fissure, the lung tissue should be cut between S(6) and S(8), because S(10) is not located beside the interlobar fissure. However, it is difficult to identify the boundary between the S(6) and S(8) without a route marker. To solve these difficulties, we divided S(6) and S(10) from each other at the beginning of the procedure, which enabled A(10) to be identified easily from the dorsal side. Because S(6) and S(8-10) should be divided in S(10) segmentectomy at the end, the division between S(6) and S(8-10) at the beginning of procedure is not only reasonable, but makes the procedure simple.
Authors:
Takashi Nakayama; Mitsutomo Kohno; Yotaro Izumi; Keisuke Asakura; Masayuki Okui; Yasoo Sugiura; Toshinori Fukutomi; Yoshikane Yamauchi; Hiroaki Nomori
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-11
Journal Detail:
Title:  Surgery today     Volume:  -     ISSN:  1436-2813     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of General Thoracic Surgery, Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
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