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. 2012 May;1(1):70-6.
doi: 10.3978/j.issn.2225-319X.2012.04.15.

Video-assisted thoracoscopic lobectomy using a standardized three-port anterior approach - The Copenhagen experience

Henrik J Hansen  1 , René H Petersen
Affiliations

Video-assisted thoracoscopic lobectomy using a standardized three-port anterior approach - The Copenhagen experience

Henrik J Hansen et al. Ann Cardiothorac Surg. 2012 May.
No abstract available

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Figures

Figure 1
Figure 1
Operating room set-up for the anterior approach of video-assisted thorascopic lobectomy
Figure 2
Figure 2
Three incisions made for the anterior approach forming a triangular configuration, with the utility incision at the apex of the triangle, measuring 5 cm in length
Figure 3
Figure 3
VATS right upper lobectomy: right superior pulmonary vein from right upper lobe is encircled by a vascular loop, while the pulmonary venous drainage from the right middle lobe is clearly seen
Figure 4
Figure 4
VATS right upper lobectomy: after division of right upper lobe pulmonary vein and truncus anterior, posterior ascending segmental artery to the right upper lobe is being divided by a Ligasure
Figure 5
Figure 5
VATS right middle lobectomy: bronchus of the right middle lobe is presented through the oblique fissure after division of the right middle lobe vein
Figure 6
Figure 6
VATS right middle lobectomy: after the division of the right middle lobe vein and bronchus, pulmonary artery branches to the right middle lobe and lower lobe is exposed
Figure 7
Figure 7
VATS left upper lobectomy: left upper lobe bronchial and vascular stumps are visualized, after left upper lobectomy and en bloc removal of Station 5 and Station 6 lymph nodes
Figure 8
Figure 8
VATS right lower lobectomy: pulmonary artery to right lower lobe, including superior segmental artery is isolated, after dividing the oblique fissure anteriorly
Figure 9
Figure 9
VATS lymph node dissection: superior mediastinal lymph node dissection on the right side
Figure 10
Figure 10
VATS lymph node dissection: subcarinal lymph node dissection from the right side, by retracting the esophagus posteriorly and the lung anteriorly to expose the membranous trachea and the subcarinal region
See this image and copyright information in PMC

References

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