Uniportal left S1 + 2 segmentectomy

Gen Thorac Cardiovasc Surg. 2023 Jul;71(7):432-435. doi: 10.1007/s11748-023-01929-4. Epub 2023 Mar 22.


The left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1 + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be performed anteriorly. Given that the fissureless technique is commonly used in uniportal video-assisted thoracoscopic surgery, S1 + 2 segmentectomy exhibits high affinity with the unidirectional approach. We have frequently performed left S1 + 2 segmentectomy for early non-small cell lung cancer located in the apical segment, since this procedure has the potential to preserve pulmonary function over tri-segmentectomy. Herein, we introduce our approach to uniportal left S1 + 2 segmentectomy as a minimally invasive alternative for preserving lung function.

Keywords: S1 + 2; Segmentectomy; Uniportal VATS.

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / surgery
  • Humans
  • Lung / surgery
  • Lung Neoplasms* / diagnostic imaging
  • Lung Neoplasms* / surgery
  • Pneumonectomy / methods
  • Thoracic Surgery, Video-Assisted / methods