Article Abstract

Thoracoscopic anterior segmentectomy of the right upper lobe (S3)

Authors: Jon Lutz, Agathe Seguin-Givelet, Dominique Gossot


S3 segmentectomy is a challenging procedure for three reasons: the anatomy of vascular elements is complex, the segment is comprised between S1 and the middle lobe, and the minor fissure is most often fused. The key for accessing the bronchovascular pedicle is two-fold: (I) achieving a sufficient exposure of the bronchial trifurcation and (II) opening of the minor fissure between S3 and the middle lobe. Once done, this maneuver helps exposing the vessels and greatly eases the procedure.