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Ann Thorac Surg 2007;83:1913-1914
© 2007 The Society of Thoracic Surgeons

How To Do It

Convenient and Improved Method to Distinguish the Intersegmental Plane in Pulmonary Segmentectomy Using a Butterfly Needle

Mitsuhiro Kamiyoshihara, MDa,*, Seiichi Kakegawa, MDa, Yasuo Morishita, MDb

a Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
b Department of Thoracic Visceral and Organ Surgery, Gunma University School of Medicine, Maebashi, Gunma, Japan

Accepted for publication June 22, 2006.

* Address correspondence to Dr Kamiyoshihara, Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma, 371-0014 Japan (Email: m-kamiyoshihara{at}maebashi.jrc.or.jp).

In the traditional method of segmentectomy, the plane between segments where removal is to occur is demarcated by inflating the normal lung, while keeping the segment to be removed airless. Our method, the opposite of convention, involves inflating only the involved segment by instilling oxygen through a butterfly needle into the bronchus subtending the segment. This saves time and therefore benefits the patient.






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