TY - CHAP M1 - Book, Section TI - Minimally Invasive Segmentectomy for Malignancy A1 - Rice, David C. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Burt, Bryan M. A2 - Groth, Shawn S. A2 - Loor, Gabriel A2 - Wolf, Andrea S. A2 - Williams, Marcia A2 - Adams, Ann PY - 2020 T2 - Sugarbaker’s Adult Chest Surgery, 3e AB - Sublobar resection refers to any pulmonary resection in which only part of the pulmonary lobe is removed. Nonanatomic sublobar resection is commonly called wedge resection (see Chapter 79). It implies removal of the target lesion and associated surrounding lung parenchyma without paying attention to the boundaries of the bronchopulmonary segment and without separate division of the segmental vessels and bronchi. Anatomic sublobar resection, in contrast, involves identification and ligation of those structures and complete removal of one or more bronchopulmonary segments. Although segmentectomy was first described for the treatment of pulmonary infection, more common indications include lung cancers in patients who are unable to undergo lobectomy because of physiologic constraints, lung metastases not amenable to simple wedge excision, and pulmonary lesions that require resection and cannot be easily localized intraoperatively by palpation or other means (Table 72-1). Such nodules may be amenable to segmentectomy by virtue of their known location in a specific lung segment on preoperative CT imaging. The latter is frequently the case with minimally invasive resection of nodules located deep within the lung parenchyma, where the ability to palpate the lung may be limited. The use of segmentectomy for small lung cancers in healthy patients who could tolerate lobectomy is an area of ongoing controversy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/15 UR - accesssurgery.mhmedical.com/content.aspx?aid=1170410298 ER -