Combined Basilar Subsegmentectomy for Intralobar Sequestration Via Uniportal VATS: a Case Report

Overview

Journal Surg Case Rep

Specialty General Surgery

Date 2023 Feb 1

PMID 36723788

Authors

Satoshi Takamori

Hiroyuki Oizumi

Jun Suzuki

Satoshi Shiono

Affiliations

Soon will be listed here.

Abstract

Background: Combined basilar subsegmentectomy via uniportal video-assisted thoracoscopic surgery is an extremely complex surgery. Moreover, no the existing reports describe the procedure and technique. Here, we present the technique of combined basilar subsegmentectomy that was successfully performed via uniportal video-assisted thoracoscopic surgery to treat intralobar pulmonary sequestration in an adult patient.

Case Presentation: A 57-year-old man underwent surgery for oropharyngeal carcinoma. Preoperative computed tomography showed several cystic lesions in the right lower lobe. Subsequent enhanced computed tomography revealed an anomalous artery branching from the abdominal aorta and a normal pulmonary vein. The patient with diagnosed with Pryce type III intralobar pulmonary sequestration and underwent right S7 posterior + 10bc combined basilar segmentectomy via uniportal video-assisted thoracoscopic surgery. The postoperative course was uneventful, and the patient was discharged 4 days after surgery. At the 8-month follow-up, computed tomography showed no abnormalities.

Conclusions: We successfully performed combined basilar subsegmentectomy via uniportal video-assisted thoracoscopic surgery. This surgical approach is useful for the treatment of intralobar pulmonary sequestration occurring at the basal segment of the lung.

Citing Articles

Thoracoscopic Anatomic Segmentectomy Techniques for Rare Medial-Basal Segment (S7) Variants.

Takamori S, Oizumi H, Nakagami C, Nakatsuka M, Sasage T, Endo M Ann Thorac Surg Short Rep. 2025; 2(2):189-192.

PMID: 39790149 PMC: 11708670. DOI: 10.1016/j.atssr.2023.12.022.

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