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

By Joseph B. Zwischenberger

ISBN-10: 141604017X

ISBN-13: 9781416040170

Atlas of Thoracic Surgical recommendations, a identify within the Surgical concepts Atlas sequence edited by means of Drs. Townsend and Evers, offers cutting-edge updates at the complete diversity of thoracic surgeries played this present day. Dr. Joseph B. Zwischenberger, in addition to esteemed overseas members, provides you with professional recommendation on quite a few thoracic options, together with lung-volume aid surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic techniques to many systems that will help you extend your repertoire and hone your medical talents. colour illustrations improve the specific directions, and professional seek advice performance promises easy accessibility to the whole textual content online.

  • Includes handy entry to the full-text on-line at expertconsult.com.
  • Offers step by step counsel on a number of thoracic surgical thoughts, providing you with extra strategies for the demanding situations you face.
  • Discusses the most well liked issues in thoracic surgical procedure, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic methods to many procedures.
  • Presents greater than 2 hundred full-color illustrations and step by step intraoperative photos for specialist visible guidance.
  • Discusses pearls and pitfalls that will help you stay away from complications.
  • Uses a constant, easy-to-follow bankruptcy structure that incorporates scientific anatomy, pre-operative issues, operative steps, and post-operative care to make reference easy.

Visually grasp a variety of operative recommendations, with authoritative guidance

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Extra resources for Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series

Example text

4-6).  A right-angled clamp is passed behind the right pulmonary artery and a silk tie is slung around the vessel (Fig. 4-7). The space behind the right pulmonary artery is developed using a peanut mounted on a right-angled clamp.  The videoscope is then repositioned through the anterior port, and an EndoGIA vascular stapler is inserted through the inferior port. With gentle traction on the silk tie, the flat blade of the vascular stapler is eased behind the right pulmonary artery, helped by a mounted peanut to displace any structure that might obstruct the tip of the stapler from emerging behind the right pulmonary artery (Fig.

Chapter 4 • Video-Assisted Thoracic Surgery for Major Pulmonary Resection 37 B A Figure 4-1 Figure 4-2 Figure 4-3 Figure 4-4 Figure 4-5 38 Section I • Thoracic Cancer Division of the Right Pulmonary Artery  The videoscope is returned to the inferior port position. Maintaining the same posterior traction using the posterior sponge-holder clamp, the right pulmonary artery is exposed with sharp and blunt dissection. Both upper and lower borders of the right pulmonary artery are defined using blunt dissection with a mounted peanut (Fig.

VATS Port Strategy  Our standard VATS port-site strategy uses a three-port technique, which consists of an inferior port for insertion of the videoscope, an anterior port, and a posterior port for placement of instruments. The anterior port is modified into an anteriorly placed utility mini-thoracotomy.  In general, the sixth or seventh intercostal space in the midaxillary line is the position of choice for placement of the inferior port for videoscope access into the pleural cavity. This is the first port to be made, so it can be created only in a “blind” fashion; this care is taken to avoid injury to lung parenchyma, especially if the likelihood of pleural adhesions is high, and if necessary some blunt dissection may be needed.

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


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