Non-anatomical Resections of the Lung
- 2.2k Downloads
The value of non-anatomical wedge-shaped lung resection should primarily be regarded from its diagnostic aspect. Technically, in a hospital with experience in minimally invasive surgery, it comes under “minor surgery”, even though in terms of numbers it counts as one of the most commonly performed procedures. The thoracoscopically or palpatorily defined target finding – already optimally marked using computer tomography before the operation, depending on position or size – is resected with a suitably selected stapler and removed and placed in a specimen pouch. The clear visibility associated with the procedure allows a thorough assessment of the thoracic space, which cannot be achieved with any other method available. The aetiologically coloured pleura and the no less varied mediastinum are accessible for visual assessment “in passing” and for specific extensive biopsies.