A new technique for partial removal of the pulmonary artery in video-assisted thoracic surgical lobectomy Zhi Zhang, MD, Jianfeng Huang, MD, PhD, Rong.

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Presentation transcript:

A new technique for partial removal of the pulmonary artery in video-assisted thoracic surgical lobectomy Zhi Zhang, MD, Jianfeng Huang, MD, PhD, Rong Yin, MD, PhD, Lin Xu, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 2, Pages 512-514 (August 2012) DOI: 10.1016/j.jtcvs.2012.01.075 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, A representative photograph displaying the position of the patient. An access incision (12 mm) was added to place the vascular clamp in the third intercostal space (ICS) on the anterior axillary line. B, A schematic drawing describing a left upper lobectomy with partial pulmonary artery (PA) anterior resection in video-assisted thoracoscopic surgery. It is notable that the handles of the Satinsky clamp were placed on the left pulmonary artery trunk (just distal to the ligamentum arteriosum) and an umbilical tape was secured with a 5-mm Hem-o-lok (Teleflex Medical Inc, Durham, NC). Nonabsorbable polymer ligating clips were used to block the reserved inferior pulmonary vein. The invaded pulmonary artery branches were removed and then sutured directly with 4-0 Prolene (Ethicon, Inc, Somerville, NJ). C, A representative photograph of pulmonary artery clamping and pulmonary vein blocking. D, Typical computed tomographic scan of a patient with a left upper lobe tumor with dense adhesion of tumor around apicoposterior branch. SPV, Superior pulmonary vein; IPV, inferior pulmonary vein. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 512-514DOI: (10.1016/j.jtcvs.2012.01.075) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions