Combined subsegmentectomy for S 2 b (horizontal subsegment of the posterior segment) and S 3 a (lateral subsegment of the anterior segment) in the right upper pulmonary lobe

Masayuki Okui; Mitsutomo Kohno; Yotaro Izumi; Keisuke Asakura; Hiroaki Nomori

doi:10.1007/s11748-010-0738-0

Combined subsegmentectomy for S ² _b (horizontal subsegment of the posterior segment) and S ³ _a (lateral subsegment of the anterior segment) in the right upper pulmonary lobe

Masayuki Okui, Mitsutomo Kohno, Yotaro Izumi, Keisuke Asakura, Hiroaki Nomori

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

A technique for combined resection of S ² _b (horizontal subsegment of the posterior segment) and S ³ _a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S ² _b and S ³ _a should be resected from the interlobar fissure, an approach for the artery and bronchus of S ³ _a (A ³ _a and B ³ _a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B ³ runs in back of V ² at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A ² _b and B ² _b are cut at the interlobar fissure; (2) A ³ _a and B ³ _a are cut from the ventral side of hilum; (3) the peripheral stumps of A ³ _a and B ³ _a are transferred to the interlobar fissure; and (4) subsegments of S ³ _a and S ² _b are resected with the peripheral stumps of A ² _b, B ² _b, A ³ _a, and B ³ _a from the side of the interlobar fissure. We believe this procedure makes the combined resection of S ² _b and S ³ _a easy.

Original language	English
Pages (from-to)	632-635
Number of pages	4
Journal	General thoracic and cardiovascular surgery
Volume	59
Issue number	9
DOIs	https://doi.org/10.1007/s11748-010-0738-0
Publication status	Published - 2011 Sept

Keywords

Limited resection
Lung cancer
Segmentectomy

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s11748-010-0738-0

Cite this

Combined subsegmentectomy for S ² _b (horizontal subsegment of the posterior segment) and S ³ _a (lateral subsegment of the anterior segment) in the right upper pulmonary lobe. / Okui, Masayuki; Kohno, Mitsutomo; Izumi, Yotaro et al.
In: General thoracic and cardiovascular surgery, Vol. 59, No. 9, 09.2011, p. 632-635.

Research output: Contribution to journal › Article › peer-review

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abstract = "A technique for combined resection of S 2 b (horizontal subsegment of the posterior segment) and S 3 a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S 2 b and S 3 a should be resected from the interlobar fissure, an approach for the artery and bronchus of S 3 a (A 3 a and B 3 a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B 3 runs in back of V 2 at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A 2 b and B 2 b are cut at the interlobar fissure; (2) A 3 a and B 3 a are cut from the ventral side of hilum; (3) the peripheral stumps of A 3 a and B 3 a are transferred to the interlobar fissure; and (4) subsegments of S 3 a and S 2 b are resected with the peripheral stumps of A 2 b, B 2 b, A 3 a, and B 3 a from the side of the interlobar fissure. We believe this procedure makes the combined resection of S 2 b and S 3 a easy.",

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AU - Nomori, Hiroaki

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N2 - A technique for combined resection of S 2 b (horizontal subsegment of the posterior segment) and S 3 a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S 2 b and S 3 a should be resected from the interlobar fissure, an approach for the artery and bronchus of S 3 a (A 3 a and B 3 a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B 3 runs in back of V 2 at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A 2 b and B 2 b are cut at the interlobar fissure; (2) A 3 a and B 3 a are cut from the ventral side of hilum; (3) the peripheral stumps of A 3 a and B 3 a are transferred to the interlobar fissure; and (4) subsegments of S 3 a and S 2 b are resected with the peripheral stumps of A 2 b, B 2 b, A 3 a, and B 3 a from the side of the interlobar fissure. We believe this procedure makes the combined resection of S 2 b and S 3 a easy.

AB - A technique for combined resection of S 2 b (horizontal subsegment of the posterior segment) and S 3 a (lateral subsegment of the anterior segment) of the right upper lobe of the lung is presented. Although both the S 2 b and S 3 a should be resected from the interlobar fissure, an approach for the artery and bronchus of S 3 a (A 3 a and B 3 a, respectively) is easier from the ventral side of the hilum rather than from the interlobar fissure, because B 3 runs in back of V 2 at the interlobar fissure. To resolve this contradiction, we devised a procedure as follows: (1) A 2 b and B 2 b are cut at the interlobar fissure; (2) A 3 a and B 3 a are cut from the ventral side of hilum; (3) the peripheral stumps of A 3 a and B 3 a are transferred to the interlobar fissure; and (4) subsegments of S 3 a and S 2 b are resected with the peripheral stumps of A 2 b, B 2 b, A 3 a, and B 3 a from the side of the interlobar fissure. We believe this procedure makes the combined resection of S 2 b and S 3 a easy.

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