Sastre Ignacio, España Manuel, Ceballos Roberto, Bustos Mario
Thoracic Surgery Department, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
Multimed Man Cardiothorac Surg. 2020 Jun 25;2020. doi: 10.1510/mmcts.2020.037.
Anatomic segmentectomy is a form of sublobar resection that can be both diagnostic and therapeutic in the context of an indeterminate pulmonary nodule, suspected metastasis, or small peripheral cancer. This video tutorial demonstrates our technique for an apicoposterior anatomical segmentectomy performed by video-assisted thoracoscopy, using two ports, for resection of an undiagnosed pulmonary nodule. The steps performed by the surgical team are shown, and we pay particular attention to the recognition of vascular anatomy. To perform this type of sublobar resection, it is necessary to understand both the normal anatomy and the different variants. This tutorial will provide a thorough grounding in the anatomy of the apicoposterior segment as well as demonstrating the optimal approach for this type of resection.
解剖性肺段切除术是一种肺叶下切除形式，在不确定的肺结节、疑似转移瘤或小的周围型癌症的情况下，它兼具诊断和治疗作用。本视频教程展示了我们通过电视辅助胸腔镜，使用两个切口，对未确诊的肺结节进行尖后段解剖性肺段切除术的技术。视频展示了手术团队执行的步骤，我们特别关注血管解剖结构的识别。要进行这种类型的肺叶下切除，必须了解正常解剖结构和不同的变异情况。本教程将全面介绍尖后段的解剖结构，并展示这种类型切除的最佳方法。
