https://doi.org/10.4081/monaldi.2021.1633
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
Accepted: January 17, 2021
Abstract Views: 724
PDF: 326
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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.
Pischik VG. Technical difficulties and extending the indications for VATS lobectomy. J Thorac Dis 2004;6:S623-30.
Murakami J, Ueda K, Hayashi M, et al. Simultaneous stapling of the lobar bronchus and pulmonary artery: is it actually dangerous? Interact Cardiovasc Thorac Surg 2016;22:671-3.
Qiang G, Nakajima J. Simultaneous stapling of pulmonary vein and bronchus in video-assisted thoracic surgery lobectomy. Ann Thorac Cardiovasc Surg 2015;21:78-80.
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.
Marjanski T, Sternau A, Dziedzic R. Arteriobronchial fistula complicating right upper lobectomy. Ann Thorac Surg 2013;96:e95-6.
Abe J, Hasumi T, Takahashi S, et al. Fatal broncho-pulmonary artery fistula after lobectomy for lung cancer. J Surg Case Rep 2015;9:1-2.
Matsuoka K, Imanishi N, Yamada T, et al. Clinical results of bronchial stump coverage using free pericardial fat pad. Interact Cardiovasc Thorac Surg 2016;23:553-9.
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.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Andrea Imperatori, Maria Cattoni, Luca Bertolaccini, Mario Nosotti, Lorenzo Rosso, Lucio Cagini, Jacopo Vannucci, Alessandro Brunelli, Roberto Crisci, Carlo Curcio, Nicola Rotolo, Assessment of the 90-day mortality risk score after video-assisted thoracoscopic lobectomy in the Italian VATS Group cohort , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Alice Biffi, Giulia Dei, Federica De Giacomi, Anna Stainer, Lorenzo Olmo Parma, Maria Rosa Pozzi, Paola Faverio, Alberto Pesci, Non-specific interstitial pneumonia and features of connective tissue disease: What are the consequences of a different point of view? , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- D.P. Tashkin, Smoked Marijuana as a Cause of Lung Injury , Monaldi Archives for Chest Disease: Vol. 63 No. 2 (2005): Pulmonary series
- A. Scarda, M. Confalonieri, C. Baghiris, S. Binato, R. Mazzarotto, A. Palamidese, R. Zuin, U. Fantoni, Out-patient high-dose-rate endobronchial brachytherapy for palliation of lung cancer: an observational study , Monaldi Archives for Chest Disease: Vol. 67 No. 3 (2007): Pulmonary series
- Massimiliano Polastri, Lara Pisani, Andrea Dell'Amore, Stefano Nava, Revolving door respiratory patients: A rehabilitative perspective , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Dario Amore, Umberto Caterino, Dino Casazza, Riccardo Ievoli, Pasquale Imitazione, Alessandro Saglia, Alessandro Izzo, Marco Rispoli, Carlo Curcio, Persistent alveolar air leak following pulmonary lobectomy: an old problem in a modern era , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- L. Fuso, G. Pagliari, V. Boniello, A. Trovè, F. Varone, A. Longobardi, S. Basso, L. Trodella, Autofluorescence bronchoscopy to identify pre-cancerous bronchial lesions , Monaldi Archives for Chest Disease: Vol. 63 No. 3 (2005): Pulmonary series
- U. Caterino, G. Dialetto, F.E. Covino, G. Mazzarella, E. Grella, M. Massimo, The usefulness of transesophageal echocardiography in the staging of locally advanced lung cancer , Monaldi Archives for Chest Disease: Vol. 67 No. 1 (2007): Pulmonary series
- M. Malerba, B. Ragnoli, M. Corradi, Non-invasive methods to assess biomarkers of exposure and early stage of pulmonary disease in smoking subjects , Monaldi Archives for Chest Disease: Vol. 69 No. 3 (2008): Pulmonary series
- M. Bellia, A. Benfante, M. Menozzi, G. Augugliaro, N. Scichilone, F. Cannizzaro, M. Midiri, V. Bellia, Validation of lung densitometry threshold at CT for the distinction between senile lung and emphysema in elderly subjects , Monaldi Archives for Chest Disease: Vol. 75 No. 3 (2011): Pulmonary series
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
