How to avoid "en masse" lobectomy using VATS technique in presence of hilar fibrosis

Submitted: October 5, 2020
Accepted: January 17, 2021
Published: March 19, 2021
Abstract Views: 724
PDF: 326
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Authors

Perivascular fibrosis is technically one of the most challenging issue to manage during thoracoscopic lobectomy and it is associated with increased risk of hemorrhagic injury. Here we report a case of thoracoscopic right lower lobectomy performed with individual dissection of segmental arteries due to dense adventitial fibrosis around the right lower lobe pulmonary artery. This approach may be considered as an alternative to the so-called “en masse” lobectomy and a way to avoid conversion to thoracotomy.

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Citations

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Kamiyoshihara M, Igai H, Ibe T, et al. Pulmonary lobar root clamping and stapling technique: return of the “en masse lobectomy”. Gen Thorac Cardiovasc Surg 2013;61:280-91.
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How to Cite

Amore, Dario, Dino Casazza, Alessandro Saglia, Pasquale Imitazione, Umberto Caterino, and Carlo Curcio. 2021. “How to Avoid ‘en Masse’ Lobectomy Using VATS Technique in Presence of Hilar Fibrosis”. Monaldi Archives for Chest Disease 91 (2). https://doi.org/10.4081/monaldi.2021.1633.

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