title: Surgical technique of lung segmental resection with two intersegmental planes.
abstract: Lung 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.
authors: Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, Gifu City, Gifu, Japan. ihisashi@gifu-u.ac.jp
authors: Hisashi
authors: H
authors: Iwata
authors: Koyo
authors: K
authors: Shirahashi
authors: Yoshimasa
authors: Y
authors: Mizuno
authors: Masafumi
authors: M
authors: Matsui
authors: Hirofumi
authors: H
authors: Takemura
mesh_terms: D000368:Aged; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D011651:Pulmonary Artery / Q000601:surgery; D011667:Pulmonary Veins / Q000601:surgery; D017792:Surgical Stapling; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D016896:Treatment Outcome; D059708:Ultrasonic Surgical Procedures