Single-incision thoracoscopic right pneumonectomy with primary division of the pulmonary artery.

Kocher, Gregor; Hoksch, Beatrix; Lutz, Jon; Schmid, Ralph A. (2016). Single-incision thoracoscopic right pneumonectomy with primary division of the pulmonary artery. Journal of visualized surgery, 2(3), p. 41. AME Publishing Company 10.21037/jovs.2016.02.29

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In recent years video-assisted thoracoscopic surgery (VATS) techniques have gained popularity also for major lung resections. Furthermore, especially in experienced VATS centers, single-incision thoracoscopic surgery is more and more adapted due to its even lesser invasiveness. Most thoracic surgeons still prefer an open approach to perform pneumonectomy, although reports of VATS and even single-incision VATS pneumonectomy are increasing. Unlike other authors we prefer to divide the pulmonary artery (PA) as one of the first steps of the procedure in order to obtain a clear field of vision on one hand and to obtain optimal control of bleeding and total blood loss on the other hand. Herein we describe our technique for single incision thoracoscopic right pneumonectomy and mediastinal lymphadenectomy without rib-spreading and with division of the PA as a first step. Furthermore we prefer to routinely cover the bronchial stump (BS) with an in situ azygos vein (AV) flap during right pneumonectomy.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Kocher, Gregor; Hoksch, Beatrix; Lutz, Jon Andri and Schmid, Ralph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2221-2965

Publisher:

AME Publishing Company

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

19 Jan 2022 12:16

Last Modified:

19 Jan 2022 12:23

Publisher DOI:

10.21037/jovs.2016.02.29

PubMed ID:

29078469

Uncontrolled Keywords:

Lung cancer minimally invasive surgery pneumonectomy video-assisted thoracoscopic surgery (VATS)

BORIS DOI:

10.48350/162944

URI:

https://boris.unibe.ch/id/eprint/162944

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