title: Total thoracoscopic posterior basal segmentectomy for primary lung cancer.
abstract: This report introduces a hilar side approach for posterior basal segmentectomies by the process of specific vision thoracoscopic surgery, which has been used extensively for peripheral small lung cancer by the author. Although it requires a deeper understanding of hilar anatomy and fine control, it is safer and less invasive to the thoracic wall and results in less postoperative pain than the thoracotomy counterpart and as a hilar side approach allows for less deformation. The necessary order of processes involves specific vision, inflation-deflation and blunt dissection from the hilum.
authors.affiliation: Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan ktk776@gmail.com.
authors.forename: Wataru
authors.initials: W
authors.lastname: Nishio
authors.affiliation: Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan.
authors.forename: Kenta
authors.initials: K
authors.lastname: Tane
authors.affiliation: Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Uchino
authors.affiliation: Department of Chest Surgery, Hyogo Cancer Center, Akashi, Japan.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yoshimura
mesh_terms: D065311:Adenocarcinoma in Situ / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007430:Intraoperative Care / Q000379:methods; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D008482:Mediastinum / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D009367:Neoplasm Staging; D061646:Operative Time; D010149:Postoperative Pain / Q000517:prevention & control*; D011013:Pneumonectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D020708:Thoracoscopes; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Lung cancer; Segmentectomy; Thoracoscopy