Thorac cardiovasc Surg 2014; 62(08): 722-724
DOI: 10.1055/s-0034-1389271
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Pulmonary Segmentectomy with Tunneling Stapler Technique

Naohiro Kobayashi
1  Department of Surgery, Hitachi General Hospital, Hitachi, Ibaraki, Japan
,
Katsuyuki Endo
1  Department of Surgery, Hitachi General Hospital, Hitachi, Ibaraki, Japan
› Author Affiliations
Further Information

Publication History

03 April 2014

27 June 2014

Publication Date:
07 October 2014 (eFirst)

Abstract

Pulmonary segmentectomy necessitates dissection of the lung parenchyma. Stapling is one method of dissecting the lung parenchyma. However, simple stapling of the segmental plane might result in restriction of residual lung inflation and a short margin from the lesion. Therefore, a technique of segmental plane dissection via staple incisions radially spreading out from the segmental bronchus stump has been developed, which is made possible by creating a tunnel passageway to maneuver the stapler's anvil. This procedure can reduce restriction of lung inflation and secure surgical margins from the lesion.