{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:52Z","timestamp":1753876312690,"version":"3.41.2"},"reference-count":27,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2019,10,24]],"date-time":"2019-10-24T00:00:00Z","timestamp":1571875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Cancer Research from the Ministry of Health, Labour and Welfare, Japan"},{"DOI":"10.13039\/501100004330","name":"Smoking Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004330","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Cancer Center Research and Development Fund","award":["26-A-4"],"award-info":[{"award-number":["26-A-4"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title><jats:p\/><jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>Segmentectomy has become an increasingly popular surgical procedure for small-sized lung lesions. Left upper trisegmentectomy (LUTS) is one of the most common segmentectomies performed because of its relative ease and simplicity; however, limited information is currently available on the specific postoperative complications associated with this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Among 2060 surgically resected cases in our institute between 2009 and 2016, 129 (6.2%) underwent LUTS. Postoperative chest X-rays and\/or thoracic computed tomography (CT) scans were retrospectively assessed for all cases to assess postsurgical residual lung complications following LUTS. We categorized cases into 4 groups: type A (atelectasis of the lingular segment), type B (lung torsion of the lingular segment), type C (necrosis of the \u2018isolated segment\u2019) and type D (haematoma along stapling lines).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Postsurgical lung complications following LUTS were observed in 17 (13.1%) patients (type A: n\u2009=\u20097, type B: n\u2009=\u20091, type C: n\u2009=\u20094 and type D: n\u2009=\u20095). Three patients (2.3%) required surgical intervention because of type B (n\u2009=\u20091) and type C (n\u2009=\u20092), namely, decreased permeability and remaining ground glass opacities in the residual lung, showing an exacerbated systemic inflammatory response. In contrast, type A and D cases were successfully observed by chest CT without any surgical intervention, and patients recovered within a few months of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>We identified several postoperative residual lung complications following LUTS. Lung torsion or necrosis of the residual segment may require intensive care, including reoperation. Potentially serious complications always need to be ruled out after LUTS when radiological consolidation is detected postoperatively.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ejcts\/ezz273","type":"journal-article","created":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T19:27:53Z","timestamp":1570649273000},"source":"Crossref","is-referenced-by-count":3,"title":["Postsurgical residual lung complications following left upper trisegmentectomy"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2365-327X","authenticated-orcid":false,"given":"Yutaro","family":"Koike","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aritoshi","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Takamochi","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiaki","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,10,24]]},"reference":[{"key":"2019103013323703000_ezz273-B1","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1097\/JTO.0b013e31821038ab","article-title":"A prospective radiological study of thin-section computed tomography to predict pathological noninvasiveness in peripheral clinical IA lung cancer (Japan Clinical Oncology Group 0201)","volume":"6","author":"Suzuki","year":"2011","journal-title":"J Thorac Oncol"},{"key":"2019103013323703000_ezz273-B2","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1093\/jjco\/hyp156","article-title":"A phase III randomized trial of lobectomy versus limited resection for small sized peripheral non-small cell lung cancer (JCOG0802\/WJOG4607L)","volume":"40","author":"Nakamura","year":"2010","journal-title":"Jpn J Clin Oncol"},{"key":"2019103013323703000_ezz273-B3","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.athoracsur.2012.03.033","article-title":"Is limited resection appropriate for radiologically \u201csolid\u201d tumors in small lung cancers?","volume":"94","author":"Hattori","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B4","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1016\/j.jtcvs.2017.08.037","article-title":"Prognostic impact of a ground glass opacity component in the clinical T classification of non-small cell lung cancer","volume":"154","author":"Hattori","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B5","doi-asserted-by":"crossref","first-page":"1787","DOI":"10.1016\/S0003-4975(98)00819-4","article-title":". Ongoing prospective study of segmentectomy for small lung tumors","volume":"66","author":"Tsubota","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B6","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.jtcvs.2006.02.063","article-title":"Radial sublobar resection for small-sized non-small cell lung cancer; a multicenter study","volume":"132","author":"Okada","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B7","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.athoracsur.2015.08.063","article-title":"Oncologic outcomes of segmentectomy versus lobectomy for clinical T1a N0 M0 non-small cell lung cancer","volume":"101","author":"Kodama","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B8","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/S0003-4975(01)03466-X","article-title":"Prospective study of extended segmentectomy for small lung tumors: the final report","volume":"73","author":"Yoshikawa","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B9","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1510\/icvts.2010.253989","article-title":"Postoperative complications and respiratory function following segmentectomy of the lung-comparison of the methods of making an inter-segmental segmental plane","volume":"12","author":"Miyasaka","year":"2011","journal-title":"Interactive CardioVasc Thorac Surg"},{"key":"2019103013323703000_ezz273-B10","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0003-4975(03)00437-5","article-title":"Pulmonary segmentectomy: results and complications","volume":"76","author":"Jones","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B11","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00595-008-3767-x","article-title":"Predictors of atelectasis after pulmonary lobectomy","volume":"38","author":"Stolz","year":"2008","journal-title":"Surg Today"},{"key":"2019103013323703000_ezz273-B12","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1055\/s-0034-1377061","article-title":"Cardiomegaly is a significant predictor of postoperative atelectasis following left upper superior segmentectomy","volume":"63","author":"Miyasaka","year":"2015","journal-title":"Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B13","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1016\/j.athoracsur.2005.06.010","article-title":"Functional advantage after radical segmentectomy versus lobectomy for lung cancer","volume":"80","author":"Harada","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B14","doi-asserted-by":"crossref","first-page":"S1222","DOI":"10.21037\/jtd.2018.02.88","article-title":"Determination of the intersegmental plane using the slipknot method","volume":"10","author":"Endoh","year":"2018","journal-title":"J Thorac Dis"},{"key":"2019103013323703000_ezz273-B15","doi-asserted-by":"crossref","first-page":"1382","DOI":"10.1016\/j.athoracsur.2009.11.062","article-title":"Anatomic lung segmentectomy simulated by computed tomographic angiography","volume":"90","author":"Oizumi","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B16","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/j.jtcvs.2010.08.027","article-title":"Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: a report of 52 consecutive cases","volume":"141","author":"Oizumi","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B17","doi-asserted-by":"crossref","first-page":"2180","DOI":"10.1016\/j.athoracsur.2012.12.068","article-title":"New technique for lung segmentectomy using indocyanine green injection","volume":"95","author":"Oh","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B18","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1016\/j.athoracsur.2006.06.052","article-title":"Convenient and improved method to distinguish the intersegmental plane in pulmonary segmentectomy using a butterfly needle","volume":"83","author":"Kamiyoshihara","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B19","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.1016\/j.jtcvs.2011.07.061","article-title":"Extremely rare but potential complication of diffuse brain edema due to air embolism during lung segmentectomy with selected segmental inflation technique by syringe needle during video-assisted thoracoscopic surgery","volume":"142","author":"Otsuka","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B20","doi-asserted-by":"crossref","first-page":"100.","DOI":"10.21037\/jovs.2017.06.11","article-title":"How to demarcate intersegmental plane with resected-segments inflation method using the slip knot technique in thoracoscopic anatomic segmentectomy","volume":"3","author":"Endoh","year":"2017","journal-title":"J Vis Surg"},{"key":"2019103013323703000_ezz273-B21","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1055\/s-2007-1020097","article-title":"Torsion of a lung lobe: diagnosis and treatment","volume":"36","author":"Larsson","year":"1988","journal-title":"Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B22","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1067\/mtc.2001.117839","article-title":"Lobar torsion after pulmonary resection: presentation and outcome","volume":"122","author":"Cable","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B23","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/0003-4975(92)91386-N","article-title":"Pulmonary torsion: a questionnaire survey and a survey of the literature","volume":"54","author":"Wong","year":"1992","journal-title":"Ann Thorac Surg"},{"key":"2019103013323703000_ezz273-B24","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s11748-008-0281-4","article-title":"Pulmonary torsion of the lingula following a segmentectomy of the left upper division","volume":"56","author":"Eguchi","year":"2008","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2019103013323703000_ezz273-B25","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.ijscr.2017.07.051","article-title":"Lingular segment torsion following a left upper division segmentectomy","volume":"39","author":"Taira","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2019103013323703000_ezz273-B26","doi-asserted-by":"crossref","first-page":"40.","DOI":"10.1186\/s13019-018-0741-6","article-title":"Left upper division segmentectomy with a simultaneous displaced bronchus and pulmonary arteriovenous anomalies: a case report","volume":"13","author":"Hayashi","year":"2018","journal-title":"J Cardiothorac Surg"},{"key":"2019103013323703000_ezz273-B27","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1016\/j.jtcvs.2012.05.071","article-title":"Video-assisted thoracoscopic trisegmentectomy and left upper lobectomy provide equivalent survivals for stage IA and IB lung cancer","volume":"144","author":"Soukiasian","year":"2012","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezz273\/30326254\/ezz273.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezz273\/30326254\/ezz273.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T01:59:09Z","timestamp":1575856749000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article\/doi\/10.1093\/ejcts\/ezz273\/5606746"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,24]]},"references-count":27,"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezz273","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"type":"print","value":"1010-7940"},{"type":"electronic","value":"1873-734X"}],"subject":[],"published":{"date-parts":[[2019,10,24]]},"article-number":"ezz273"}}