Uniportal segmentectomy: an alternative for resection of deeply situated lung metastases

Lutz, Jon A.; Kocher, Gregor J. (2019). Uniportal segmentectomy: an alternative for resection of deeply situated lung metastases. Journal of visualized surgery, 5, -37. AME Publishing Company 10.21037/jovs.2019.03.10

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There is no high level of evidence that lung metastasectomy offers better outcome in terms of survival than non-operative treatment. Retrospective case series have identified some preoperative and postoperative risk factors for recurrence and survival that have impacted current practice. Indication for lung metastasectomy should be an individual decision, taken by multidisciplinary boards. However, once the decision for resection has been made, the surgeon has to figure out the best strategy to achieve complete resection with minimal harm to the patient. The least invasive procedure is therefore usually a combination of a minimally invasive access route with a lung-sparing resection technique. Multiport and especially uniportal video-assisted thoracoscopic surgery (VATS) are therefore ideal approaches from an access point of view. For metastases that cannot be removed by extra-anatomic resections, sublobar anatomic resections are an alternative to lobectomy. Combining the advantages of the uniportal access with the technique of the parenchyma sparing segmentectomy minimizes postoperative morbidity. We present this option, illustrated with 3 videos of cases undergoing uniportal segmentectomy for lung metastasis.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Lutz, Jon Andri and Kocher, Gregor

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2221-2965

Publisher:

AME Publishing Company

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

26 Nov 2019 15:15

Last Modified:

26 Nov 2019 15:15

Publisher DOI:

10.21037/jovs.2019.03.10

BORIS DOI:

10.7892/boris.135010

URI:

https://boris.unibe.ch/id/eprint/135010

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