Lower lobe S7+8 video-assisted thoracoscopic surgery segmentectomy

The aim of surgical resection of pulmonary metastases is to prolong or cure patients without inducing morbidity and with preservation of as much lung tissue as possible to ensure a sufficient resection margin. Video-assisted thoracoscopic surgery (VATS) segmentectomy is an option for centrally placed metastasis that are not accessible for a wedge resection. A case of a 65-year-old male with two nodules central in the right lower lobe suspicious for metastasis is presented. VATS Segmentectomy of segment 7 and 8 on the right side was performed by a standardized anterior three port approach, demonstrated on video. Technical details are discussed. The postoperative course of the patient was unevenful.