Abstract
Totally endoscopic lobectomies or segmentectomies are considered as challenging. Because of the endoscopic vision with its magnification and unusual viewpoints, the anatomical landmarks are changed. In addition, restricted tissue manipulation and use of endoscopic instruments are disturbing. Eventually, as mentioned by T. L. Demmy, performing endoscopic major pulmonary resection means relearning the procedures. The aim of this chapter is to stress several technical details that we have found helpful. Most of these tips and tricks can be modified according to the surgeon’s preferences and will anyway evolve with upcoming technologies. The key-points are:
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Demmy T, James T, Swanson S, et al. (2005) Troubleshooting video-assisted thoracic surgery lobectomy. Ann Thorac Surg 79:1744–1753
Gossot D (2008) Technical tricks to facilitate totally endoscopic major pulmonary resections. Ann Thorac Surg 86:323–326
Park B, Flores R, Rusch V (2006) Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg 131:54–59
Shiraishi T, Shirakusa T, Miyoshi T, et al. (2006) A completely thoracoscopic lobectomy/segmentectomy for primary lung cancer: technique, feasability and advantages. Thorac Cardiovasc Surg 54:202–207
Gossot D, Merlusca G, Tudor A, et al. (2009) Pitfalls related to the use of endostaplers during video-assisted thoracic surgery. Surg Endosc 23:189–192
Gossot D, Pryschepau M, Barenys CM, et al. (2009) Throw-off instruments for advanced thoracoscopic procedures. Interact Cardiovasc Thorac Surg 10:159–160
Ikeda Y, Tamura M, Umezu H, et al. (2003) Usefulness of mini loop retractor in video-assisted thoracic surgery. Kyobu Geka 56:199–202
Ito N, Suda T, Inoue T, et al. (2005) Use of a soft silicone tube guide for an automatic suture device in video-assisted lung lobectomy. J Thorac Cardiovasc Surg 130:931–932
Kondo K, Adachi H (2006) Minimally invasive surgery for lung cancer using thoracoscope as a “microscopic surgery” for the safety endoscopic surgery. Kyobu Geka 59:703–709
Sato Y, Tezuka Y, Kana iY, et al. (2008) Novel retractor for lymph node dissection by video-assisted thoracic surgery. Ann Thorac Surg 86:1036–1037
Schoofs J, Gossot D (2004) A neglected but frustrating ergonomic issue: the thoracoscopic trocar. Minim Invasive Ther Allied Technol:133–137
Molnar T, Benko I, Szanto Z, et al. (2006) Lung biopsy using harmonic scalpel: a randomised single institute study. Eur J Cardiothor Surg 28:604–606
Sakuragi T, Okazaki Y, Mitsuoka M, et al. (2008) The utility of a reusable bipolar sealing instrument, BiClamp, for pulmonary resection. Eur J Cardiothor Surg 34:505–509
Santini M, Vicidomini G, Baldi A, et al. (2006) Use of an electrothermal bipolar tissue sealing system in lung surgery. Eur J Cardiothor Surg 29:226–230
Tanaka K, Hagiwara M, Kondo Y, et al. (2006) Usefulness of ultasonically activated scalpel for pulmonary resection in video-assisted thoracoscopic surgery. Kyobu Geka 59:1171–1175
Fukuhara K, Akashi A, Nakane S, Tomita E (2008) Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before videoassisted thoracic surgery lobectomy. Eur J Cardiothor Surg 34:875–877
Nakanishi R, Oka S, Odate S (2009) Video-assisted thoracic surgery major pulmonary resection requiring control of the main pulmonary artery. Interact Cardiovasc Thorac Surg;9:618–22
Nomori H, Ohtsuka T, Horio H, et al. (2003) Thoracoscopic lobectomy for lung cancer with a largely fused fissure. Chest 123:619–622
Oda M, Ishikawa N, Tsunezuka Y, et al. (2007) Closed three-port anatomic lobectomy with systematic nodal dissection for lung cancer. Surg Endosc 21:1464–1465
Okada M, Mimura T, Ikegaki J, et al. (2007) A novel video assisted anatomic segmentectomy technique: selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg 133:753–758
Watanabe A, Koyanagi T, Nakashima S, Higami T (2007) How to clamp the main pulmonary artery during video-assisted thoracoscopic surgery lobectomy. Eur J Cardiothor Surg 31:129–131
Wauben L, van Veelen M, Gossot D, Goossens R (2006) Application of ergonomic guidelines during minimally invasive surgery: a questionnaire survey of 284 surgeons. Surg Endosc 20:1268–1274
Yamada S, Suga A, Inoue Y et al. (2009) Use of multi-detector rox angiography for the arrangement of video-asisted modified segmental resection. Eur J Cardiothor Surg 36:727–30
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Gossot, D. (2010). Tips and tricks. In: Atlas of Endoscopic Major Pulmonary Resections. Springer, Paris. https://doi.org/10.1007/978-2-287-99777-8_2
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DOI: https://doi.org/10.1007/978-2-287-99777-8_2
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