By Joseph B. Zwischenberger
Atlas of Thoracic Surgical strategies, a name within the Surgical thoughts Atlas sequence edited via Drs. Townsend and Evers, provides cutting-edge updates at the complete variety of thoracic surgeries played this present day. Dr. Joseph B. Zwischenberger, in addition to esteemed overseas participants, provide you with professional recommendation on numerous thoracic concepts, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic methods to many systems that will help you extend your repertoire and hone your scientific talents. colour illustrations increase the exact directions, and professional seek advice performance supplies quick access to the whole textual content online.
- Includes handy entry to the full-text on-line at expertconsult.com.
- Offers step by step advice on various thoracic surgical thoughts, supplying you with extra strategies for the demanding situations you face.
- Discusses the most popular themes in thoracic surgical procedure, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic techniques to many procedures.
- Presents greater than two hundred full-color illustrations and step by step intraoperative pictures for professional visible guidance.
- Discusses pearls and pitfalls that can assist you stay away from complications.
- Uses a constant, easy-to-follow bankruptcy layout that incorporates medical anatomy, pre-operative concerns, operative steps, and post-operative care to make reference easy.
Visually grasp quite a lot of operative concepts, with authoritative guidance
Read Online or Download Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series PDF
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Extra resources for Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series
The posterior ascending artery is clipped at its origin (Fig. 3-11). Do not place clips distally because they will be in the staple line. 8-mm stapler through incision 1 to staple the bronchus (Fig. 3-12). 8-mm stapler is fired several times to complete the fissure (Fig. 3-13). 10. Removal of the Lobe To minimize the chances of recurrent tumor in the incision, the RUL is placed into a bag for removal through the utility incision (Fig. 3-14). Step 4. Postoperative Care Patients usually do not require care in the intensive care unit after undergoing a VATS lobectomy.
Pearls and Pitfalls Work anteriorly to posteriorly with little manipulation of the lung. No posterior dissection is necessary. Complete resection of the tissue with the level 10 nodes exposes the right mainstem bronchus, SVC, and anterior trunk. During that dissection, the superior and posterior aspects of the anterior arterial trunk should be dissected well because it prepares the artery for transection later. Chapter 3 • Right Upper Lobectomy 31 Figure 3-13 Figure 3-14 32 Section I • Thoracic Cancer Suggested Readings Alam N, Flores RM.
If air bubbles are seen, needle holders can be placed into the robotic arms to repair the defect, and adjacent vascular tissue can be brought into place to cover the defect as necessary. Further paratracheal mediastinal and subcarinal mediastinal tissue can be resected to complete the lymphadenectomy. The specimens are brought out through the anterior superior port site in an endobag. To prevent postoperative torsion of the right middle lobe, the middle lobe can be plicated to the lower lobe by stapling the very edges in one or two places as necessary.