A Method to Identify Intersegmental Planes for Robotic-assisted Anatomic Segmentectomy Without Waiting.

Surg Laparosc Endosc Percutan Tech

Department of Thoracic Surgery, The Second Hospital Affiliated to Harbin Medical University, Harbin, Heilongjiang Province, China.

Published: June 2022

AI Article Synopsis

  • Identifying intersegmental planes is crucial for successful segmentectomy, with several techniques like inflation-deflation and jet ventilation being previously used.
  • However, these methods come with limitations, prompting the development of a new collateral ventilation technique that simplifies the process during robotic-assisted surgeries.
  • The improved method showcases benefits like reduced surgical time and enhanced visibility of the inflation-deflation line.

Article Abstract

Identifying intersegmental planes is considered the key step during segmentectomy. Several techniques, including modified inflation-deflation techniques, target-segment jet ventilation, and infrared-fluorescence-enhanced methods, have been reported for the identification of intersegmental planes. However, limitations of these methods have also been reported. Here, we described an improved collateral ventilation method to identify the inflation-deflation line without waiting and without any auxiliary materials needed during robotic-assisted anatomic segmentectomy. We present this handy technique of identifying the intersegmental planes and comment on its advantages, including decreased operative time and improved clarity of the inflation-deflation line.

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Source
http://dx.doi.org/10.1097/SLE.0000000000001040DOI Listing

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