[Thoracoscopic Superior and Subsuperior Segmentectomy of the Right Lower Lung for Lung Cancer]

Kyobu Geka. 2022 Dec;75(13):1088-1091.
[Article in Japanese]

Abstract

The subsuperior segment (S*) is not frequently observed between the superior (S6) and posterior basal segments (S10). We present a case of video-assisted thoracoscopic surgery of S6+S* segmentectomy for a primary lung cancer patient. A 71-year-old man with a 20-mm nodule on the right S6, suspected of primary lung cancer( cT1bN0M0, stageⅠA2), was admitted to our hospital. Three-dimensional chest computed tomography (CT) revealed a subsuperior segmental bronchus (B*), originating from the common trunk of the lateral basal segmental bronchus( B9) and posterior basal segmental bronchus (B10). In order to obtain enough surgical margin, we performed S6+S* segmentectomy. The pathological diagnosis was invasive adenocarcinoma( pT1cN0M0, stageⅠA3). S* segmentectomy was considered to be useful method to ensure sufficient surgical margin when the lesion is in S* or in segments adjacent to it.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Humans
  • Lung / pathology
  • Lung Neoplasms* / diagnostic imaging
  • Lung Neoplasms* / pathology
  • Lung Neoplasms* / surgery
  • Male
  • Margins of Excision
  • Pneumonectomy* / methods
  • Thoracic Surgery, Video-Assisted