https://doi.org/10.4081/monaldi.2021.1633

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

Vol. 91 No. 2 (2021)
Submitted: October 5, 2020
Accepted: January 17, 2021
Published: March 19, 2021
Lung cancer, VATS lobectomy, vascular fibrosis
Abstract Views: 739
PDF: 331
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Authors

Dario Amore
darioamoremd@gmail.com
https://orcid.org/0000-0001-9667-8315
Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.
Dino Casazza
Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.
Alessandro Saglia
Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Pasquale Imitazione
Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Umberto Caterino
Department of Respiratory Diseases, Monaldi Hospital, Naples, Italy.
Carlo Curcio
Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.

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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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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