Anatomical Segmentectomy For Lung Cancer

Advances in CT have enabled us to detect small lung cancers, which has changed the lung cancer surgery from lobectomy to a lesser lobar resection such as a segmentectomy or wedge resection. While wedge resection is a simple procedure, it has a higher risk of local recurrence of cancer than a lobectomy. On the other hand, segmentectomy is a well known curative surgery for small lung cancers. However, it is difficult to perform accurately because of its anatomical complexity, which makes surgeons hesitant to use it. The book “Illustrated Anatomical Segmentectomy for Lung Cancer” provides readers a detailed explanation of segmentectomy with numerous easy-to-understand color illustrations showing the precise segmental anatomies for each pattern of the procedure. To better illustrate an accurate anatomical segmentectomy, the text shows details of anatomy during segmentectomy. This can involve up to 25 patterns, each of which is shown in roughly 10 illustrations.

This book explains more than 30 types of segmentectomy with plentiful figures to explain the intraoperative findings and anatomy of the lung. It also provides videos to help readers recognize the tricks and techniques that are not explained in still images. The book is organized into four parts following the anatomy of the lung; right upper lobe, right lower lobe, left upper lobe, and left lower lobe. Each chapter goes into detail on each segment and offers the latest devices and procedures. Although segmentectomy is known as curative surgery for early-stage small lung cancers, not many surgeons can perform with accuracy due to its anatomical complexity. Therefore, the purpose of Anatomical Segmentectomy for Lung Cancer is to share the knowledge and experiences of performing the surgeries and to further enhance the techniques by creating a foundation for building on to this knowledge. It is a valuable resource for thoracic surgeons interested in curative surgery for small lung cancers and for those who wish to stay up to date on the latest techniques.

This book aims to provide readers practical information on the procedure of segmentectomy for early-stage lung cancer with the use of 3D reconstruction technology. The first chapters mainly focus on the basic knowledge of lung segmentectomy, such as its history, anatomy, indications and 3D reconstruction. In the following chapters, 12 different types of lung segmentectomies for early-stage lung cancer are introduced, including CT images, 3D reconstruction images, intraoperative mark figures. More importantly, exquisite hand-painted sketches are presented, which make the procedure of lung segment resection easy to understand. This case-based book will be a valuable reference for thoracic surgeons and those who are interested in related field.

This third edition Atlas of Endoscopic Major Pulmonary Resections describes in detail the totally thoracoscopic approach to major pulmonary resections, in which only endoscopic instruments and monitor control are used. Pulmonary lobectomies and segmentectomies are presented step by step, using brief technical notes and high-quality, clearly labeled still images. Each chapter begins with information on the anatomical background, which is illustrated in three-dimensional reconstructions. In turn, technical ‘tricks’ and specific pitfalls are explained in pictograms. The technical descriptions presented here are based on the author’s own technique, which in some cases differs from other video-assisted approaches. The goal is for surgeons embarking on video-assisted major pulmonary resections – regardless of which approach they use – to find helpful hints and guidance on this totally new vision of pulmonary and mediastinal anatomy.The first edition of this atlas was released at a time when video-assisted major pulmonary resections were just emerging as a valid alternative to conventional techniques. In the second edition, chapters on sublobar resections, as a new alternative to lobectomy in selected patients, were added. In this third edition, as the interest in sublobar resections is growing, and because they are challenging, the technique is dealt with in depth. In particular, readers will be introduced to new imaging technologies to support these techniques.

Textbook of Lung Cancer, 2nd edition, published in association with the European Society of Medical Oncology, is a comprehensive and multidisciplinary text, which examines all aspects of this disease, with contributions from a multinational team of authors on etiology, epidemiology, molecular biology, pathology, smoking, detection and management, clinical features, staging and prognostic factors, surgery, radiotherapy and chemotherapy. It provides essential information and guidance for specialist trainees in oncology, and for the many physicians and specialists involved in the field of lung cancer.

The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. The core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guidebook provides essential reference material to surgeons wishing to update their knowledge in this specific area. The Operation Primer Video-assisted Thoracoscopic Lobectomy is specially created for surgeons wishing to familiarize themselves with minimally invasive, video-assisted thoracoscopic surgical techniques. VATS lobectomy is an accepted and safe procedure, and the oncological outcome is as good as with the traditional open approach. This operation primer is an excellent teaching tool, accurately describing the steps of this technique in a manner suitable for both beginners and experienced surgeons. It provides a detailed overview of patient preparation, key surgical steps, and common pitfalls of VATS lobectomy. This Operation Primer will provide surgeons with a reliable and systematic approach to performing VATS lobectomy.

​This book represents a head-to-toe guide for clinicians who are interested in applying real-time near infrared (NIR) imaging for their patients. Expert surgeons from around the globe share their experience with NIR imaging, most commonly performed using indocyanine green (ICG) fluorescence. The chapters are structured to include a brief background, indications for use, followed by a technical description of the procedure. Each chapter is also accompanied by video examples and detailed information about necessary equipment, drug dosing, and alternative techniques. A pitfalls section serves as a “lessons learned” segment to bookend each chapter. Authors represent a comprehensive list of surgical subspecialties ranging from neurosurgery to plastic surgery. While it is not meant to serve as an exhaustive summary of ICG use in surgery, the goal is to highlight the successful use of this technology in a number of settings. As the technology and applications continue to expand, Video Atlas of Intraoperative Applications of Near Infrared Fluorescence Imaging serves as a foundation upon which to build.

The second edition of Difficult Decisions in Thoracic Surgery: An Evidence- Based Approach addresses the growing complexity of decision making in thoracic surgery. More than half of the clinical questions posed in this book are new, and of the questions that remain as holdovers from the previous edition, virtually all have been revised and updated. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. Concise chapters are devoted to one or two specific questions, or decisions, in general thoracic surgery that are difficult or controversial. The authors identify relevant publications in their selected topics, grade the quality of the evidence offered by those reports, apply that knowledge to objective management recommendations in an idealized world, and then comment on how they personally use the information in their own clinical practices. The book is a valuable reference source for practicing surgeons, surgeons in training, and educators.