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General Aspects of Thoracoscopic Surgery

  • Dominique GossotEmail author
Chapter
  • 2.3k Downloads

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, performing endoscopic major pulmonary resection endoscopic 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 surgeon’s preferences and will anyway evolve with upcoming technologies.

Keywords

Main Pulmonary Artery Suction Device Endoscopic Instrument Endoscopic Vision Optimal Vision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

General Aspects

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

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Hemostatic Devices

  1. Molnar T, Benko I, Szanto Z et al (2006) Lung biopsy using harmonic scalpel: a randomised single institute study. Eur J Cardiothorac Surg 28:604–606CrossRefGoogle Scholar
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Technical Tricks

  1. Fukuhara K, Akashi A, Nakane S, Tomita E (2008) Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Eur J Cardiothorac Surg 34:875–877PubMedCrossRefGoogle Scholar
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  4. 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 133:753–758PubMedCrossRefGoogle Scholar
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  6. 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 20:1268–1274PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Thoracic DepartmentInstitut Mutualiste MontsourisParisFrance

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