The standard operation for lung cancer confined to the left upper lobe, irrespective of the size or location, has been lobectomy. Resection of the upper division with preservation of the lingula is the anatomic equivalent of a right upper lobectomy with preservation of the right middle lobe. Therefore, the best oncologic operation for apical left upper lobe cancer in a patient with poor lung function is an apical trisegmentectomy. This video shows the operative technique for an single-port VATS trisegmentectomy. The use of new adapted dissector for uniportal VATS (Gonzalez-Rivas dissector, Scanlan) facilitates the procedure. The postoperative course of the patient was unenventful and the patient was discharged on the second postoperative day with no pain and excellent recovery. Video by Diego Gonzalez-Rivas, MD.
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