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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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Bibliography

General aspects

  • Demmy T, James T, Swanson S, et al. (2005) Troubleshooting video-assisted thoracic surgery lobectomy. Ann Thorac Surg 79:1744–1753

    Article  PubMed  Google Scholar 

  • Gossot D (2008) Technical tricks to facilitate totally endoscopic major pulmonary resections. Ann Thorac Surg 86:323–326

    Article  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Gossot D, Pryschepau M, Barenys CM, et al. (2009) Throw-off instruments for advanced thoracoscopic procedures. Interact Cardiovasc Thorac Surg 10:159–160

    Article  PubMed  Google Scholar 

  • Ikeda Y, Tamura M, Umezu H, et al. (2003) Usefulness of mini loop retractor in video-assisted thoracic surgery. Kyobu Geka 56:199–202

    CAS  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Schoofs J, Gossot D (2004) A neglected but frustrating ergonomic issue: the thoracoscopic trocar. Minim Invasive Ther Allied Technol:133–137

    Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Nomori H, Ohtsuka T, Horio H, et al. (2003) Thoracoscopic lobectomy for lung cancer with a largely fused fissure. Chest 123:619–622

    Article  PubMed  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

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© 2010 Springer-Verlag France, Paris

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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

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99776-1

  • Online ISBN: 978-2-287-99777-8

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