Makoto Oda, Isao Matsumoto, Tsuyoshi Yachi, Kenichiro Saito, Takehisa Imagawa, Norihiko Ishikawa, Go Watanabe.
Kanazawa University, Kanazawa, Japan.
We recently perform three port VATS segmentectomy for patients with clinical stage IA lung cancer less than 2cm in tumor diameter.
Points of our VATS techniques are as follows. 1. Length of 3 skin incisions are 3cm, 1.2cm, and 1cm. 3cm port makes two different instruments insertion possible. 2. To divide lung parenchyma, jet ventilation through divided distal segmental bronchus is applied to clarify the border of the segment. 3. Small size silastic drains are placed. 4. LCS is used for lymh nodal dissection.
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