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18579 Gherzi Video.mp4 (1.02 GB)

Hilum First-Fissure Last Biportal VATS Right Lower Lobectomy for Lung Cancer

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posted on 2022-08-11, 18:19 authored by Lorenzo Gherzi, Michele Ferrari, Alessandro Pardolesi

This video presents the surgical technique to perform a video-assisted hilum first–fissure last right lower lobectomy with two-port approach in a seventy-five-year-old female nonsmoker. The patient was admitted with a diagnosis of a 32 mm right lower lobe adenocarcinoma. The preoperative chest CT scan displayed the presence of a partially incomplete fissure. The completeness of the interlobar fissure was graded 3, according to the Craig’s scale classification.

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References

1) Deboever N, Mitchell KG, Feldman HA, Cascone T, Sepesi B. Current surgical indications for non-small-cell lung cancer. Cancers (Basel). 2022;14(5):1263. doi:10.3390/cancers14051263

2) Gómez-Caro A, Calvo MJR, Lanzas JT, Chau R, Cascales P, Parrilla P. The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy. Eur J Cardiothorac Surg. 2007;31(2):203-208. doi:10.1016/j.ejcts.2006.11.030

3) Craig SR, Walker WS. A proposed anatomical classification of the pulmonary fissures. J R Coll Surg Edinb. 1997;42(4):233-234.

4) Schieman C, MacGregor JH, Kelly E, et al. Can preoperative computed tomography of the chest predict completeness of the major pulmonary fissure at surgery? Can J Surg. 2011;54(4):252-256. doi:10.1503/cjs.007910

5) Sihoe ADL. Video-assisted thoracoscopic surgery as the gold standard for lung cancer surgery. Respirology. 2020;25 Suppl 2:49-60. doi:10.1111/resp.13920

6) Manolache V, Motas N, Davidescu M, et al. Minimally invasive thoracic surgery - video assisted thoracic surgery: technique and indications. Chirurgia (Bucur). 2022;117(1):101-109. doi:10.21614/chirurgia.2608

7) Hansen HJ, Petersen RH, Christensen M. Video-assisted thoracoscopic surgery (Vats) lobectomy using a standardized anterior approach. Surg Endosc. 2011;25(4):1263-1269. doi:10.1007/s00464-010-1355-9

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