General Knack of Segmentectomy

  • Hiroaki NomoriEmail author
  • Morihito Okada

Preoperative Interpretation of MDCT

The tumor location and the anatomy of branches of the bronchus, arteries, and veins are defined using axial, coronal, and sagittal views of MDCT. Because the lung should be resected at least 2 cm away from the tumor during segmentectomy, vessels or the bronchus within 2 cm of the tumor should be identified on MDCT. If the lung tissue within 2 cm from the tumor is not limited within one segment, the additional resection of subsegment or segment would be necessary. The branching pattern and size of the bronchus, arteries, and veins on MDCT should be identified before segmentectomy.

Exposing the Segmental Bronchus (Figs. 2.1 and 2.2)


Sentinel Node Distal Stump Segmental Bronchus Intersegmental Plane Sufficient Surgical Margin 
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Copyright information

© Springer Japan 2012

Authors and Affiliations

  1. 1.Department of SurgeryKameda Medical CenterChibaJapan
  2. 2.Department of Surgical OncologyHiroshima UniversityHiroshimaJapan

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