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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg 2022; 70(04): 341-345
DOI: 10.1055/s-0041-1727171
Review Article

Review of Approaches to Developing Intersegmental Plane during Segmentectomy

Xingshi Chen‡   *
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
,
Zhengyuan Zhang‡   *
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
,
Ning Xu‡   *
2   Department of Thoracic Surgery, Anhui Chest Hospital, Hefei, Anhui Province, China
,
Dongchun Ma
2   Department of Thoracic Surgery, Anhui Chest Hospital, Hefei, Anhui Province, China
,
Hecheng Li 
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
› Institutsangaben Funding This study received funding from the National Natural Science Foundation of China (8187102600, 82072557), Outstanding Academic Leader of Shanghai (20XD1402300), Ruijin Youth NSFC Cultivation Fund (2019QNPY01052), and the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support (20172005).
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Abstract

In recent years, with the popularity of computed tomography (CT) scanning, early lung cancer has been found in a large number of patients, and segmentectomy has been widely used in clinical practice. The development of intersegmental plane is the most critical step in segmentectomy. At present, there are many methods to identify the intersegmental plane. Also, dissection of the intersegmental plane has been a challenge for thoracic surgeons for decades because of the complicated anatomic variations. This study focuses on the safety and efficacy of relevant methods in both identification and dissection of the intersegmental plane in segmentectomy.

Keywords

lung cancer treatment - surgery - medical - surgical equipment - instruments - sutures - outcomes - mortality - morbidity - tumor

* All three authors contributed equally to the article.




Publikationsverlauf

Eingereicht: 13. Dezember 2020

Angenommen: 25. Januar 2021

Artikel online veröffentlicht:
16. April 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Reference

  • 1 Kidane B, Yasufuku K. Advances in image-guided thoracic surgery. Thorac Surg Clin 2016; 26 (02) 129-138
    CrossrefPubMedGoogle Scholar
  • 2 Yang W, Qian F, Teng J. et al; Written on behalf of the AME Thoracic Surgery Collaborative Group. Community-based lung cancer screening with low-dose CT in China: results of the baseline screening. Lung Cancer 2018; 117: 20-26
    CrossrefPubMedGoogle Scholar
  • 3 National Comprehensive Cancer Network. Non-Small Cell Lung Cancer (Version 3. 2018 https://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf . Accessed February 21, 2018
    PubMedGoogle Scholar
  • 4 Hwang Y, Kang CH, Kim HS, Jeon JH, Park IK, Kim YT. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy on the patients with non-small cell lung cancer: a propensity score matching study. Eur J Cardiothorac Surg 2015; 48 (02) 273-278
    CrossrefPubMedGoogle Scholar
  • 5 Kodama K, Higashiyama M, Okami J. et al. Oncologic outcomes of segmentectomy versus lobectomy for clinical T1a N0 M0 non-small cell lung cancer. Ann Thorac Surg 2016; 101 (02) 504-511
    CrossrefPubMedGoogle Scholar
  • 6 Landreneau RJ, Normolle DP, Christie NA. et al. Recurrence and survival outcomes after anatomic segmentectomy versus lobectomy for clinical stage I non-small-cell lung cancer: a propensity-matched analysis. J Clin Oncol 2014; 32 (23) 2449-2455
    CrossrefPubMedGoogle Scholar
  • 7 Okada M, Mimae T, Tsutani Y. et al. Segmentectomy versus lobectomy for clinical stage IA lung adenocarcinoma. Ann Cardiothorac Surg 2014; 3 (02) 153-159
    PubMedGoogle Scholar
  • 8 Tsubokawa N, Tsutani Y, Miyata Y. et al. Segmentectomy versus lobectomy for radiologically pure solid clinical T1a-bN0M0 lung cancer. World J Surg 2018; 42 (08) 2493-2501
    CrossrefPubMedGoogle Scholar
  • 9 Nakazawa S, Shimizu K, Mogi A, Kuwano H. VATS segmentectomy: past, present, and future. Gen Thorac Cardiovasc Surg 2018; 66 (02) 81-90
    CrossrefPubMedGoogle Scholar
  • 10 Wang J, Xu X, Wen W, Wu W, Zhu Q, Chen L. Modified method for distinguishing the intersegmental border for lung segmentectomy. Thorac Cancer 2018; 9 (02) 330-333
    CrossrefPubMedGoogle Scholar
  • 11 Jin Y, Wang M, Xue L, Zhao X. Clinical application of near-infrared thoracoscopy with indocyanine green in video-assisted thoracoscopic anatomical segmentectomy. Surg Innov 2019; 26 (04) 473-477
    CrossrefPubMedGoogle Scholar
  • 12 Matsuoka H, Nishio W, Sakamoto T, Harada H, Yoshimura M, Tsubota N. Selective segmental jet injection to distinguish the intersegmental plane using jet ventilation. Jpn J Thorac Cardiovasc Surg 2003; 51 (08) 400-401
    CrossrefPubMedGoogle Scholar
  • 13 Okada M, Mimura T, Ikegaki J, Katoh H, Itoh H, Tsubota N. A novel video-assisted anatomic segmentectomy technique: selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg 2007; 133 (03) 753-758
    CrossrefPubMedGoogle Scholar
  • 14 Misaki N, Chang SS, Gotoh M, Yamamoto Y, Satoh K, Yokomise H. A novel method for determining adjacent lung segments with infrared thoracoscopy. J Thorac Cardiovasc Surg 2009; 138 (03) 613-618
    CrossrefPubMedGoogle Scholar
  • 15 Sekine Y, Ko E, Oishi H, Miwa M. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg 2012; 143 (06) 1330-1335
    CrossrefPubMedGoogle Scholar
  • 16 Oh S, Suzuki K, Miyasaka Y, Matsunaga T, Tsushima Y, Takamochi K. New technique for lung segmentectomy using indocyanine green injection. Ann Thorac Surg 2013; 95 (06) 2188-2190
    CrossrefPubMedGoogle Scholar
  • 17 Mehta M, Patel YS, Yasufuku K. et al. Near-infrared mapping with indocyanine green is associated with an increase in oncological margin length in minimally invasive segmentectomy. J Thorac Cardiovasc Surg 2019; 157 (05) 2029-2035
    CrossrefPubMedGoogle Scholar
  • 18 Ginsberg RJ, Rubinstein LV. Lung Cancer Study Group. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Ann Thorac Surg 1995; 60 (03) 615-622 , discussion 622–623
    CrossrefPubMedGoogle Scholar
  • 19 Howington JA, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013; 143 (5, Suppl): e278S-e313S
    CrossrefPubMedGoogle Scholar
  • 20 Ojanguren A, Gossot D, Seguin-Givelet A. Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?. J Thorac Dis 2016; 8 (08) 2158-2164
    CrossrefPubMedGoogle Scholar
  • 21 Endoh M, Oizumi H, Kato H. et al. Posterior approach to thoracoscopic pulmonary segmentectomy of the dorsal basal segment: a single-institute retrospective review. J Thorac Cardiovasc Surg 2017; 154 (04) 1432-1439
    CrossrefPubMedGoogle Scholar
  • 22 Pardolesi A, Park B, Petrella F, Borri A, Gasparri R, Veronesi G. Robotic anatomic segmentectomy of the lung: technical aspects and initial results. Ann Thorac Surg 2012; 94 (03) 929-934
    CrossrefPubMedGoogle Scholar
  • 23 Oizumi H, Kanauchi N, Kato H. et al. Total thoracoscopic pulmonary segmentectomy. Eur J Cardiothorac Surg 2009; 36 (02) 374-377 , discussion 377
    CrossrefPubMedGoogle Scholar
  • 24 Takagi K, Hata Y, Sasamoto S. et al. Late onset postoperative pulmonary fistula following a pulmonary segmentectomy using electrocautery or a harmonic scalpel. Ann Thorac Cardiovasc Surg 2010; 16 (01) 21-25
    PubMedGoogle Scholar
  • 25 Kuroda H, Dejima H, Mizumo T, Sakakura N, Sakao Y. A new LigaSure technique for the formation of segmental plane by intravenous indocyanine green fluorescence during thoracoscopic anatomical segmentectomy. J Thorac Dis 2016; 8 (06) 1210-1216
    CrossrefPubMedGoogle Scholar
  • 26 Zhao X, Qian L, Luo Q, Huang J. Segmentectomy as a safe and equally effective surgical option under complete video-assisted thoracic surgery for patients of stage I non-small cell lung cancer. J Cardiothorac Surg 2013; 8: 116
    CrossrefPubMedGoogle Scholar
  • 27 Chen X, Jin R, Xiang J. et al. Methods for dissecting intersegmental planes in segmentectomy: a randomized controlled trial. Ann Thorac Surg 2020; 110 (01) 258-264
    CrossrefPubMedGoogle Scholar
  • 28 Miyasaka Y, Oh S, Takahashi N, Takamochi K, Suzuki K. Postoperative complications and respiratory function following segmentectomy of the lung: comparison of the methods of making an inter-segmental plane. Interact Cardiovasc Thorac Surg 2011; 12 (03) 426-429
    CrossrefPubMedGoogle Scholar
  • 29 Ohtsuka T, Goto T, Anraku M. et al. Dissection of lung parenchyma using electrocautery is a safe and acceptable method for anatomical sublobar resection. J Cardiothorac Surg 2012; 7: 42
    CrossrefPubMedGoogle Scholar
  • 30 Tao H, Tanaka T, Hayashi T. et al. Influence of stapling the intersegmental planes on lung volume and function after segmentectomy. Interact Cardiovasc Thorac Surg 2016; 23 (04) 548-552
    CrossrefPubMedGoogle Scholar