Lung segmentectomy assisted by highly selective independent segmental ventilation: a series of three cases

Xiaoshun Shi,Di Lu,Xiguang Liu,Kaican Cai,Junyong Chen,Jing Ye,Zishi Lin,Jianxue Zhai,Zhen Ni,Hua Wu

doi:10.1186/s13019-021-01474-2

Xiaoshun Shi, Di Lu + Show 8 more

Open Access

https://doi.org/10.1186/s13019-021-01474-2

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Abstract

BackgroundThe identification of targeted intersegmental planes and resection with adequate surgical margins are among the crucial steps in anatomical pulmonary segmentectomy, and technical improvements are still needed.Case presentationWe reported three cases of intersegmental plane identification using highly selective independent segmental ventilation during segmentectomy. All cases required cooperation with an anesthesiologist who was able to perform segmental ventilation and double confirmation of segmental bronchus branches by the surgeon. The surgical procedure provides a direct visualization of spare segment inflation and saves time in deflation over the conventional residual segment inflation method.ConclusionsHighly selective independent segmental ventilation could be considered a suitable option for pulmonary intersegmental plane identification and could be universally used for lung segmentectomy.

Highlights

The identification of targeted intersegmental planes and resection with adequate surgical margins are among the crucial steps in anatomical pulmonary segmentectomy, and technical improvements are still needed.Case presentation: We reported three cases of intersegmental plane identification using highly selective independent segmental ventilation during segmentectomy
Highly selective independent segmental ventilation could be considered a suitable option for pulmonary intersegmental plane identification and could be universally used for lung segmentectomy
Precise intersegmental plane identification is a crucial step in anatomical segmentectomy, which is a surgical procedure aimed at curing small and early lung cancer while preserving lung function

Summary

Conclusions

Selective independent segmental ventilation could be considered a suitable option for pulmonary intersegmental plane identification and could be universally used for lung segmentectomy.

Background

Discussion and conclusions