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Title: Video-assisted thoracic surgery for left upper lobectomy for complex lesions: how to extend the indication with optimal safety?
Austin Authors: Bayard, Nathael Frank;Barnett, Stephen A ;Rinieri, Philippe;Melki, Jean;Peillon, Christophe;Baste, Jean-Marc
Affiliation: Thoracic & General Surgery Department, Rouen University Hospital, Rouen, France
Cardiac Surgery Department, Rouen University Hospital, Rouen, France
Unit of Thoracic Surgery, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Aug-2016 2016-08-15
Publication information: Acta Chirurgica Belgica 2016; 116(4): 231-233
Abstract: The feasibility of extending the VATS approach to locally advanced NSCLC has been described with good clinical outcome. These complex resections are still technically challenging and patient safety must remain the highest priority. In this article, we describe our routine VATS approach for left upper lobectomy in proximal, locally advanced lesions. Both surgical and anaesthesiology teams are trained during simulation sessions to respond rapidly in case of urgent thoracotomy. Encircling arterial and venous vessels allow control of inadvertent bleeding during difficult dissection. Also, whenever needed the double vessel control technique is a time saver waiting for conversion to thoracotomy.
DOI: 10.1080/00015458.2016.1171077
PubMed URL:
Type: Journal Article
Subjects: Thoracic surgery
Lung cancer
Appears in Collections:Journal articles

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