Fissureless trans-pericardial left upper lobectomy of the lung: a technique to avoid pneumonectomy

Masaya Yotsukura, Yu Okubo, Yukihiro Yoshida, Kazuo Nakagawa, Shun ichi Watanabe

Research output: Contribution to journalArticlepeer-review


Fissureless lobectomy of the lung is an operative technique in which hilar vessels and bronchus are divided before the interlobar fissure is separated. When hilar vessels and bronchus cannot be exposed because of tumor progression, this procedure cannot be used. As an alternative, we propose here trans-pericardial fissureless left upper lobectomy, in which the left upper bronchus is exposed by dividing the posterior wall of the pericardium after the left upper pulmonary vein is divided in the pericardial cavity. This technique enables us to perform fissureless left upper lobectomy even when hilar vessels cannot be accessed outside the pericardium.

Original languageEnglish
Pages (from-to)778-780
Number of pages3
JournalGeneral thoracic and cardiovascular surgery
Issue number4
Publication statusPublished - 2021 Apr
Externally publishedYes


  • Fissureless lobectomy
  • Hilar tumor
  • Pericardium

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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