Atlas of Thoracic Surgical Techniques: A Volume in the by Joseph B. Zwischenberger

By Joseph B. Zwischenberger

Atlas of Thoracic Surgical suggestions, a identify within the Surgical strategies Atlas sequence edited through Drs. Townsend and Evers, provides state of the art updates at the complete variety of thoracic surgeries played at the present time. Dr. Joseph B. Zwischenberger, in addition to esteemed overseas participants, will give you professional recommendation on a number of thoracic suggestions, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic ways to many approaches that can assist you extend your repertoire and hone your medical abilities. colour illustrations improve the designated directions, and specialist seek advice performance grants quick access to the entire textual content online.

  • Includes handy entry to the full-text on-line at
  • Offers step by step information on numerous thoracic surgical ideas, providing you with extra techniques for the demanding situations you face.
  • Discusses the most popular issues 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 steer clear of complications.
  • Uses a constant, easy-to-follow bankruptcy structure that incorporates scientific anatomy, pre-operative concerns, operative steps, and post-operative care to make reference easy.

Visually grasp a variety of operative options, with authoritative guidance

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The wedge resection is performed using an endoscopic articulating stapler.  The stapler can be introduced via the camera port for difficult staple angles and may allow for a smaller incision.  A resection can also be performed with the cautery and suture closure of lung parenchyma performed after the resection.  A single chest tube is placed at the conclusion of procedure. Chapter 2 • Resection of Solitary Pulmonary Nodule 21 Figure 2-7 Figure 2-8 22 Section I • Thoracic Cancer Step 4. Pearls and Pitfalls  Deep parenchymal nodules may be difficult to localize with VATS.

Once it is confirmed that the inferior pulmonary vein is securely engaged by the vascular stapler, the inferior pulmonary vein is divided (Fig. 4-12).  The right lung should now be free to mobilize. Any remaining attachment of the right lung to the hilum can be safely divided at this stage and the right lung specimen removed through the anterior port via a specimen bag. Medistinal lymph node sampling is performed as per routine.  Hemostasis is performed, and intercostal infiltration of local anesthetic is given.

Is major pulmonary resection by video-assisted thoracic surgery an adequate procedure in clinical stage I lung cancer? Chest 2004;125(5):1742-1746. Walker WS, Codispoto M, Soon SY, et al. Long-term outcomes following VATS lobectomy for non–small cell bronchogenic carcinoma. Eur J Cardiothorac Surg 2003;23(3):397-402. CHAPTER 4 Video-Assisted Thoracic Surgery for Major Pulmonary Resection Michael Kuan Yew Hsin and Anthony P. C. Yim Video-assisted thoracic surgery (VATS) in the management of lung cancer was first described in the early 1990s.

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