title: Surgical techniques to avoid parenchymal injury during lung resection (fissureless lobectomy).
abstract: Thoracoscopic lobectomy has become an accepted, safe, and oncologically sound procedure compared with open lobectomy. Several studies have reported that it reduces the length of stay, postoperative pain, and postoperative complications, including air leaks. Although there are specific technical considerations that must be taken into account, it is increasingly becoming the preferred method of anatomic lobectomy. Surgeons should be encouraged to embrace the minimally invasive strategy, which may be learned in courses using novel simulation techniques. Future directions suggest that this technique will be expanded to address even the most challenging thoracic procedures.
authors.affiliation: Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: Keki R
authors.initials: KR
authors.lastname: Balsara
authors.forename: S Scott
authors.initials: SS
authors.lastname: Balderson
authors.forename: Thomas A
authors.initials: TA
authors.lastname: D'Amico
mesh_terms: D004210:Dissection / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008171:Lung Diseases / Q000601:surgery*; D008175:Lung Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D017792:Surgical Stapling; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome