CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg 2022; 70(04): 341-345
DOI: 10.1055/s-0041-1727171
Review Article

Review of Approaches to Developing Intersegmental Plane during Segmentectomy

Xingshi Chen*
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
,
Zhengyuan Zhang*
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
,
Ning Xu*
2   Department of Thoracic Surgery, Anhui Chest Hospital, Hefei, Anhui Province, China
,
Dongchun Ma
2   Department of Thoracic Surgery, Anhui Chest Hospital, Hefei, Anhui Province, China
,
1   Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
› Author Affiliations
Funding This study received funding from the National Natural Science Foundation of China (8187102600, 82072557), Outstanding Academic Leader of Shanghai (20XD1402300), Ruijin Youth NSFC Cultivation Fund (2019QNPY01052), and the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support (20172005).

Abstract

In recent years, with the popularity of computed tomography (CT) scanning, early lung cancer has been found in a large number of patients, and segmentectomy has been widely used in clinical practice. The development of intersegmental plane is the most critical step in segmentectomy. At present, there are many methods to identify the intersegmental plane. Also, dissection of the intersegmental plane has been a challenge for thoracic surgeons for decades because of the complicated anatomic variations. This study focuses on the safety and efficacy of relevant methods in both identification and dissection of the intersegmental plane in segmentectomy.

* All three authors contributed equally to the article.




Publication History

Received: 13 December 2020

Accepted: 25 January 2021

Article published online:
16 April 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Reference

  • 1 Kidane B, Yasufuku K. Advances in image-guided thoracic surgery. Thorac Surg Clin 2016; 26 (02) 129-138
  • 2 Yang W, Qian F, Teng J. et al; Written on behalf of the AME Thoracic Surgery Collaborative Group. Community-based lung cancer screening with low-dose CT in China: results of the baseline screening. Lung Cancer 2018; 117: 20-26
  • 3 National Comprehensive Cancer Network. Non-Small Cell Lung Cancer (Version 3. 2018 https://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf . Accessed February 21, 2018
  • 4 Hwang Y, Kang CH, Kim HS, Jeon JH, Park IK, Kim YT. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy on the patients with non-small cell lung cancer: a propensity score matching study. Eur J Cardiothorac Surg 2015; 48 (02) 273-278
  • 5 Kodama K, Higashiyama M, Okami J. et al. Oncologic outcomes of segmentectomy versus lobectomy for clinical T1a N0 M0 non-small cell lung cancer. Ann Thorac Surg 2016; 101 (02) 504-511
  • 6 Landreneau RJ, Normolle DP, Christie NA. et al. Recurrence and survival outcomes after anatomic segmentectomy versus lobectomy for clinical stage I non-small-cell lung cancer: a propensity-matched analysis. J Clin Oncol 2014; 32 (23) 2449-2455
  • 7 Okada M, Mimae T, Tsutani Y. et al. Segmentectomy versus lobectomy for clinical stage IA lung adenocarcinoma. Ann Cardiothorac Surg 2014; 3 (02) 153-159
  • 8 Tsubokawa N, Tsutani Y, Miyata Y. et al. Segmentectomy versus lobectomy for radiologically pure solid clinical T1a-bN0M0 lung cancer. World J Surg 2018; 42 (08) 2493-2501
  • 9 Nakazawa S, Shimizu K, Mogi A, Kuwano H. VATS segmentectomy: past, present, and future. Gen Thorac Cardiovasc Surg 2018; 66 (02) 81-90
  • 10 Wang J, Xu X, Wen W, Wu W, Zhu Q, Chen L. Modified method for distinguishing the intersegmental border for lung segmentectomy. Thorac Cancer 2018; 9 (02) 330-333
  • 11 Jin Y, Wang M, Xue L, Zhao X. Clinical application of near-infrared thoracoscopy with indocyanine green in video-assisted thoracoscopic anatomical segmentectomy. Surg Innov 2019; 26 (04) 473-477
  • 12 Matsuoka H, Nishio W, Sakamoto T, Harada H, Yoshimura M, Tsubota N. Selective segmental jet injection to distinguish the intersegmental plane using jet ventilation. Jpn J Thorac Cardiovasc Surg 2003; 51 (08) 400-401
  • 13 Okada M, Mimura T, Ikegaki J, Katoh H, Itoh H, Tsubota N. A novel video-assisted anatomic segmentectomy technique: selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg 2007; 133 (03) 753-758
  • 14 Misaki N, Chang SS, Gotoh M, Yamamoto Y, Satoh K, Yokomise H. A novel method for determining adjacent lung segments with infrared thoracoscopy. J Thorac Cardiovasc Surg 2009; 138 (03) 613-618
  • 15 Sekine Y, Ko E, Oishi H, Miwa M. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg 2012; 143 (06) 1330-1335
  • 16 Oh S, Suzuki K, Miyasaka Y, Matsunaga T, Tsushima Y, Takamochi K. New technique for lung segmentectomy using indocyanine green injection. Ann Thorac Surg 2013; 95 (06) 2188-2190
  • 17 Mehta M, Patel YS, Yasufuku K. et al. Near-infrared mapping with indocyanine green is associated with an increase in oncological margin length in minimally invasive segmentectomy. J Thorac Cardiovasc Surg 2019; 157 (05) 2029-2035
  • 18 Ginsberg RJ, Rubinstein LV. Lung Cancer Study Group. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Ann Thorac Surg 1995; 60 (03) 615-622 , discussion 622–623
  • 19 Howington JA, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013; 143 (5, Suppl): e278S-e313S
  • 20 Ojanguren A, Gossot D, Seguin-Givelet A. Division of the intersegmental plane during thoracoscopic segmentectomy: is stapling an issue?. J Thorac Dis 2016; 8 (08) 2158-2164
  • 21 Endoh M, Oizumi H, Kato H. et al. Posterior approach to thoracoscopic pulmonary segmentectomy of the dorsal basal segment: a single-institute retrospective review. J Thorac Cardiovasc Surg 2017; 154 (04) 1432-1439
  • 22 Pardolesi A, Park B, Petrella F, Borri A, Gasparri R, Veronesi G. Robotic anatomic segmentectomy of the lung: technical aspects and initial results. Ann Thorac Surg 2012; 94 (03) 929-934
  • 23 Oizumi H, Kanauchi N, Kato H. et al. Total thoracoscopic pulmonary segmentectomy. Eur J Cardiothorac Surg 2009; 36 (02) 374-377 , discussion 377
  • 24 Takagi K, Hata Y, Sasamoto S. et al. Late onset postoperative pulmonary fistula following a pulmonary segmentectomy using electrocautery or a harmonic scalpel. Ann Thorac Cardiovasc Surg 2010; 16 (01) 21-25
  • 25 Kuroda H, Dejima H, Mizumo T, Sakakura N, Sakao Y. A new LigaSure technique for the formation of segmental plane by intravenous indocyanine green fluorescence during thoracoscopic anatomical segmentectomy. J Thorac Dis 2016; 8 (06) 1210-1216
  • 26 Zhao X, Qian L, Luo Q, Huang J. Segmentectomy as a safe and equally effective surgical option under complete video-assisted thoracic surgery for patients of stage I non-small cell lung cancer. J Cardiothorac Surg 2013; 8: 116
  • 27 Chen X, Jin R, Xiang J. et al. Methods for dissecting intersegmental planes in segmentectomy: a randomized controlled trial. Ann Thorac Surg 2020; 110 (01) 258-264
  • 28 Miyasaka Y, Oh S, Takahashi N, Takamochi K, Suzuki K. Postoperative complications and respiratory function following segmentectomy of the lung: comparison of the methods of making an inter-segmental plane. Interact Cardiovasc Thorac Surg 2011; 12 (03) 426-429
  • 29 Ohtsuka T, Goto T, Anraku M. et al. Dissection of lung parenchyma using electrocautery is a safe and acceptable method for anatomical sublobar resection. J Cardiothorac Surg 2012; 7: 42
  • 30 Tao H, Tanaka T, Hayashi T. et al. Influence of stapling the intersegmental planes on lung volume and function after segmentectomy. Interact Cardiovasc Thorac Surg 2016; 23 (04) 548-552