Download e-book for kindle: Atlas of Thoracic Surgical Techniques: A Volume in the by Joseph B. Zwischenberger

By Joseph B. Zwischenberger

ISBN-10: 141604017X

ISBN-13: 9781416040170

Atlas of Thoracic Surgical recommendations, a identify within the Surgical concepts Atlas sequence edited via Drs. Townsend and Evers, offers cutting-edge updates at the complete diversity of thoracic surgeries played this day. Dr. Joseph B. Zwischenberger, besides esteemed overseas individuals, will give you professional recommendation on quite a few thoracic suggestions, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic ways to many techniques that will help you extend your repertoire and hone your medical talents. colour illustrations improve the certain directions, and professional seek advice performance offers quick access to the whole textual content online.

  • Includes handy entry to the full-text on-line at expertconsult.com.
  • Offers step by step assistance on a number of thoracic surgical ideas, supplying you with extra thoughts 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 images for professional visible guidance.
  • Discusses pearls and pitfalls that can assist you steer clear of complications.
  • Uses a constant, easy-to-follow bankruptcy layout that comes with medical anatomy, pre-operative concerns, operative steps, and post-operative care to make reference easy.

Visually grasp a variety of operative strategies, with authoritative guidance

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Additional info for Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series

Sample text

Through the posteriorsuperior and anterior thoracoport sites, the fissure is completed. The hilar area is then submerged with saline and the ipsilateral airway ventilated. If air bubbles are seen, needle holders can be placed into the robotic arms to repair the defect, and adjacent vascular tissue can be brought into place to cover the defect as necessary. Further paratracheal mediastinal and subcarinal mediastinal tissue can be resected to complete the lymphadenectomy. The specimens are brought out through the anterior superior port site in an endobag.

The remaining anterior and posterior instrument ports are created under videoscopic vision. The precise location of the ports depends on the pathology and takes into account the location of the fissure as seen via the videoscope as well as the presence of any pleural adhesion.  A typical port strategy is as follows: The second incision is placed after inspection of the intrathoracic anatomy, avoiding areas of adhesions. The anterior utility incision, 2 cm long, is placed in the fifth intercostal space starting at the anterior axillary line.

As for the right upper lobe, the vascular endostapler is brought in from the posterior inferior thoracoport site.  After division of the pulmonary artery branches, the superior pulmonary vein can be better dissected circumferentially. A heavy silk is passed around the superior pulmonary vein and divided in a similar fashion as were those in the right upper lobectomy. The adjacent hilar lymphatic tissue is then dissected to expose the left mainstem bronchus and the bifurcation between the upper and lower lobes.

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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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