Non-anatomical Resections of the Lung

  • Rolf G. C. InderbitziEmail author


The value of non-anatomical wedge-shaped lung resection should primarily be regarded from its diagnostic aspect. Technically, in a hospital with experience in minimally invasive surgery, it comes under “minor surgery”, even though in terms of numbers it counts as one of the most commonly performed procedures. The thoracoscopically or palpatorily defined target finding – already optimally marked using computer tomography before the operation, depending on position or size – is resected with a suitably selected stapler and removed and placed in a specimen pouch. The clear visibility associated with the procedure allows a thorough assessment of the thoracic space, which cannot be achieved with any other method available. The aetiologically coloured pleura and the no less varied mediastinum are accessible for visual assessment “in passing” and for specific extensive biopsies.


Wedge Resection Lung Nodule Lung Volume Reduction Surgery Target Finding Thoracoscopic Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Dijkman JH, van der Meer JW, Bakker W, Wever AM, van der Broek PJ. et al (2011) The national lung screening trial: overview and study design. Radiology 258(1):243–253, Epub 2010 Nov 2PubMedCrossRefGoogle Scholar
  2. 2.
    Dijkman JH, van der Meer JWM, Bakker W, Wever AMJ, van der Broek PJ (1982) Transpleural lung biopsy by the thoracoscopic route in patients with diffuse interstitial pulmonary disease. Chest 82:76–83PubMedCrossRefGoogle Scholar
  3. 3.
    Gaensler EA, Carrington CB (1980) Open biopsy for chronic diffuse infiltrative lung disease. Ann Thorac Surg 30:411–426PubMedCrossRefGoogle Scholar
  4. 4.
    Gaensler EA, Moister MVB, Hamm J (1964) Open lung biopsy in diffuse pulmonary disease. N Engl J Med 270:1319–1331PubMedCrossRefGoogle Scholar
  5. 5.
    Lachappelle KJ, Morin JE (1995) Benefit of open lung biopsy in patients with respiratory failure. Can J Surg 38:316–321Google Scholar
  6. 6.
    Light RE (1990) Pleural diseases, 2nd edn. Lea & Febiger, PhiladelphiaGoogle Scholar
  7. 7.
    Mack MJ, Gordon MJ, Postma TW, Berger MS, Aronoff RJ, Acuff TE, Ryan WH (1992) Percutaneous localization of pulmonary nodules for thoracoscopic lung resection. Ann Thorac Surg 53:1123–1124PubMedCrossRefGoogle Scholar
  8. 8.
    Menzies R, Charbonneau M (1991) Thoracoscopy for the diagnosis of pleural disease. Ann Intern Med 114:271–276PubMedGoogle Scholar
  9. 9.
    Miller JI, Hatcher CR (1978) Thoracoscopy: a useful tool in the diagnosis of thoracic disease. Ann Thorac Surg 26:68–72PubMedCrossRefGoogle Scholar
  10. 10.
    Roviaro G, Varoli F, Rebuffat C, Vergani C, Maciocco M, Scalambra SM, Sonnino D, Gozi G (1995) Videothoracoscopic staging and treatment of lung cancer. Ann Thorac Surg 59:971–974PubMedCrossRefGoogle Scholar
  11. 11.
    Templeton PA, Krasna M (1993) Localization of pulmonary nodules for thoracoscopic resection: use of needle/wire breast biopsy system. AJR Am J Roentgenol 160:761–762PubMedGoogle Scholar
  12. 12.
    Voellmy W (1981) Résultats diagnostiques de la thoracoscopie dans les affections du poumon et de la plèvre. Poumon Coeur 37:67–73PubMedGoogle Scholar
  13. 13.
    Walker WS, Leaver HA (2007) Immunologic and stress responses following video-assisted thoracic surgery and open pulmonary lobectomy in early stage lung cancer. Thorac Surg Clin 17:241–249PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Thoraxzentrum ZurichZurichSwitzerland

Personalised recommendations