A 2-cm single-incision thoracoscopic left upper division segmentectomy

Kook Nam Han, Hyun Koo Kim, Hyun Joo Lee, Young Ho Choi


Background: A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique.
Methods: From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion.
Results: In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar.
Conclusions: A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.