This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

VATS Left Upper Lobe Apical and Posterior Bisegmentectomy

Thursday, April 17, 2014

This video demonstrates a left upper lobe posterior and apical segmentectomy, preserving the lingular and anterior segment, in a patient with impaired lung function. The segmental pulmonary arteries are first identified, encircled, and taken with a stapler. Then the segmental bronchi are identified and stapled. This allows an excellent view of the pulmonary segmental veins. These are taken prior to inflation, to identify the line of stapling to complete the new fissure.

This is an excellent option for patients who have small tumors in the posterior or apical segments of the left upper lobe, in whom a full left upper lobectomy might significantly impair their long-term lung function. The posterior approach allows an excellent view of all the relevant segmental vessels.

This video is available in the CTSNet China Resource Center for CTSNet users who are unable to view videos due to YouTube restrictions.


Thanks for that nice video! Seems to that I should use the hook dissector more again and at least try the posterior approach once for the dorsal segments. With our usual anterior approach those seem to be more difficult to reach. Best regards Martin

Add comment

Log in or register to post comments