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Case Reports
. 2013 Nov;17(5):889-91.
doi: 10.1093/icvts/ivt340. Epub 2013 Aug 9.

Single-port video-assisted thoracoscopic lobectomy with pulmonary artery reconstruction

Diego Gonzalez-Rivas  1 , Maria Delgado, Eva Fieira, Lucia Mendez
Affiliations
Case Reports

Single-port video-assisted thoracoscopic lobectomy with pulmonary artery reconstruction

Diego Gonzalez-Rivas et al. Interact Cardiovasc Thorac Surg. 2013 Nov.

Abstract

Despite the advances in video-assisted thoracoscopic surgery (VATS), vascular reconstruction of the pulmonary artery (PA) is still infrequently performed by thoracic surgeons because of the technical difficulties and the increased operative risk during thoracoscopy. The few published reports have been performed by using 3-4 incisions. We present the first report of a pulmonary artery reconstruction procedure performed by a single-incision VATS technique. A 73-year old male patient was operated on by the thoracoscopic approach through a single 4-cm incision with no rib spreading. The postoperative recovery was uneventful.

Keywords: Minimally invasive surgery; Pulmonary artery reconstruction; Surgery/incisions/technique; Thoracoscopy/video-assisted thoracoscopic surgery; Vascular reconstruction; Vasculoplasty.

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Figures

Figure 1:
Figure 1:
(A) CT-scan before induction treatment. (B) CT-scan after induction chemoradiotherapy.
Figure 2:
Figure 2:
(A) Surgical image of instrumentation during vascular reconstruction. (B) Postoperative result with chest tube placed in the posterior part of the incision.
Supplementary video 1:
Supplementary video 1:
Vascular resection.
Supplementary video 2:
Supplementary video 2:
Vascular reconstruction.
See this image and copyright information in PMC

References

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MeSH terms