title: Thoracoscopic Pulmonary Sub-Subsegmentectomy Based on Three-Dimensional Images.
abstract: Thoracoscopic anatomic pulmonary segmentectomy and subsegmentectomy have become sophisticated surgical solutions for complex pulmonary diseases. The rapid development of three-dimensional computed tomographic angiography (3DCTA) has made it possible to provide more refined individualized anatomic details and has consequently enabled subsubsegmentectomy (SSS). In this study, we report two successful thoracoscopic anatomic SSSs of the left S1+2aii and S3aii under the guidance of 3DCTA reconstructed images. To the best of our knowledge, these are the first two cases of SSSs ever detailed reported. The nomenclature of subsubsegments is adopted according to the Japanese Committee on the Nomenclature for Bronchial Branching.
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Wei-Bing
authors: WB
authors: Wu
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Xin-Feng
authors: XF
authors: Xu
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Wei
authors: W
authors: Wen
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Jing
authors: J
authors: Xu
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Quan
authors: Q
authors: Zhu
authors: Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address: clbright0909@njmu.edu.cn.
authors: Liang
authors: L
authors: Chen
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008175:Lung Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013906:Thoracoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*