Minimally Invasive Segmentectomy

摘要

Minimally invasive lobectomy and thoracic lymph node dissection is now widely established as a safe, anatomic, and oncologically sound procedure that may now be considered the standard of care for early-stage lung cancer. Technical familiarity and advances in equipment have now enabled many thoracic surgeons to apply these techniques to anatomic segmentectomy. Anatomic sublobar resection, segmentectomy, involves separate ligation of the segmental arteries, veins, and bronchial anatomy with concomitant hilar lymph node dissection. Although definitive indications for sublobar resection in early lung cancer are still debated in evolution, a clear distinction should be understood of the differences in anatomic sublobar resection as described in this text and stapled nonanatomic sublobar resections (wedge).