Thoracoscopic "cut-through" segmentectomy for small-sized lung cancer in a deep central location.

The use of segmentectomy and subsegmentectomy for the management of lung lesions is well established. However, the use of subsegmentectomy for deep seated lesions in the upper lobe is difficult because of sufficient surgical margins. Here, we present a patient whose lung lesion was in a deep central area and at the borders of three segments in the upper lobe of the right lung. We used combined subsegmentectomy (S1b + S3a) video-assisted thoracoscopic surgery for this small-sized lung cancer in a deep central location.