1
|
Nakazawa S, Yajima T, Numajiri K, Kawatani N, Obayashi K, Ohtaki Y, Nagashima T, Shimizu K, Shirabe K. Superior Lingular S 4 Segmentectomy. Ann Thorac Surg 2021; 113:e141-e144. [PMID: 33945813 DOI: 10.1016/j.athoracsur.2021.04.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 04/20/2021] [Indexed: 11/26/2022]
Abstract
Although segmentectomy has become a routine procedure, atypical segmentectomies are less popular than their typical counterparts, probably because anatomical and surgical data are lacking. The left superior lingular S4 segment is considered relatively small, usually resected along with other segments. However, S4 segment size varies among patients, and resection of this single segment can be a valuable lung-preserving procedure in carefully selected patients with tumors located at the border of the upper division and lingular segments. We present here the anatomical and surgical features required for a methodological left S4 segmentectomy based on our experience and the literature.
Collapse
Affiliation(s)
- Seshiru Nakazawa
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Toshiki Yajima
- Department of Innovative Cancer Immunotherapy, Gunma University, Graduate School of Medicine, Maebashi, Japan.
| | - Kazuki Numajiri
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Natsuko Kawatani
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Kai Obayashi
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Yoichi Ohtaki
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Toshiteru Nagashima
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| | - Kimihiro Shimizu
- Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan
| | - Ken Shirabe
- Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan
| |
Collapse
|