Department of General Surgical Science, Gunma University, Graduate School of Medicine, Maebashi, Japan.
Department of Innovative Cancer Immunotherapy, Gunma University, Graduate School of Medicine, Maebashi, Japan.
Ann Thorac Surg. 2022 Feb;113(2):e141-e144. doi: 10.1016/j.athoracsur.2021.04.050. Epub 2021 May 1.
Although segmentectomy has become a routine procedure, atypical segmentectomies are less popular than their typical counterparts, probably because anatomic and surgical data are lacking. The left superior lingular S segment is considered relatively small, usually resected along with other segments. However S 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 anatomic and surgical features required for a methodologic left S segmentectomy based on our experience and the literature.
虽然肺段切除术已成为常规手术，但非典型肺段切除术不如典型肺段切除术那么受欢迎，可能是因为缺乏解剖学和手术数据。左肺上舌段 S 段被认为相对较小，通常与其他段一起切除。然而，S 段的大小在患者之间存在差异，对于位于上叶和舌段交界处的肿瘤的精选患者，切除这个单一的段可能是一种有价值的保留肺的手术。我们根据经验和文献介绍了一种基于方法的左 S 段切除术所需的解剖学和手术特征。
