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How to avoid "en masse" lobectomy using VATS technique in presence of hilar fibrosis.

How to avoid "en masse" lobectomy using VATS technique in presence of hilar fibrosis.

Authors :
Amore D
Casazza D
Saglia A
Imitazione P
Caterino U
Curcio C
Source :
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace [Monaldi Arch Chest Dis] 2021 Mar 19; Vol. 91 (2). Date of Electronic Publication: 2021 Mar 19.
Publication Year :
2021

Abstract

Perivascular fibrosis is technically one of the most challenging issue to manage during thoracoscopic lobectomy and it is associated with increased risk of hemorrhagic injury. Here we report a case of thoracoscopic right lower lobectomy performed with individual dissection of segmental arteries due to dense adventitial fibrosis around the right lower lobe pulmonary artery. This approach may be considered as an alternative to the so-called "en masse" lobectomy and a way to avoid conversion to thoracotomy.

Details

Language :
English
ISSN :
1122-0643
Volume :
91
Issue :
2
Database :
MEDLINE
Journal :
Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace
Publication Type :
Academic Journal
Accession number :
33794597
Full Text :
https://doi.org/10.4081/monaldi.2021.1633