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Extrapleural Pneumonectomy With Reconstruction of Diaphragm and Pericardium Using Autologous Materials  Hironori Kobayashi, MD, PhD, Hiroaki Nomori, MD,

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Presentation on theme: "Extrapleural Pneumonectomy With Reconstruction of Diaphragm and Pericardium Using Autologous Materials  Hironori Kobayashi, MD, PhD, Hiroaki Nomori, MD,"— Presentation transcript:

1 Extrapleural Pneumonectomy With Reconstruction of Diaphragm and Pericardium Using Autologous Materials  Hironori Kobayashi, MD, PhD, Hiroaki Nomori, MD, PhD, Takeshi Mori, MD, PhD, Hidekatsu Shibata, MD, Kentaro Yoshimoto, MD, Yasuomi Ohba, MD  The Annals of Thoracic Surgery  Volume 87, Issue 5, Pages (May 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Skin incision (dark line) for the lower door open thoracotomy.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Operative field created by a lower door open thoracotomy.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Reconstruction of the diaphragm and the pericardium using a reversed latissimus dorsi flap and a fascia lata graft. (FL = fascia lata; ICM = intercostal muscle; RLDM = reversed latissimus dorsi muscle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Postoperative chest roentgenogram taken 1 month postoperatively. Black arrowheads show the fascia lata (FL) and white arrowheads the reversed latissimus dorsi muscle (RLDM). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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