• Interact Cardiovasc Thorac Surg · Apr 2013

    Surgical technique of lung segmental resection with two intersegmental planes.

    • Hisashi Iwata, Koyo Shirahashi, Yoshimasa Mizuno, Masafumi Matsui, and Hirofumi Takemura.
    • Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, Gifu City, Gifu, Japan. ihisashi@gifu-u.ac.jp
    • Interact Cardiovasc Thorac Surg. 2013 Apr 1;16(4):423-5.

    AbstractLung segmental resection is of two types: a simple type with resection of only one intersegmental plane, such as lingual or superior segmentectomy; and a complicated type with resection of two or more intersegmental planes, such as anterior segmentectomy. We present a method of identifying the intersegmental plane by physiological function. First, we cut the segmental pulmonary artery and vein. The entire lobe is then inflated with pure oxygen for 5 min. Immediately after oxygen inflation, the segmental bronchus is deflated and stapled. After a couple of minutes, the intersegmental plane is easily detected. In 117 patients who underwent segmentectomy, mean blood loss was 122 ± 193 ml and mean duration of drainage was 3.5 ± 4.8 days. Postoperative complications related to operative procedures occurred in 14 cases (12.0%). Our method of detecting intersegmental planes is convenient and useful for subsegmental resection, particularly for complicated-type cases.

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