No.19-Contest2020+No Waiting肺段RS9+10

No Waiting segmentectomy Abstract: . Using the uniportal video-assisted thoracoscopic surgery (UVATS) approach, a 3-cm-long incision is made in the posterior axillary line at the upper edge of the fifth rib. The target segmental pulmonary artery is identified and severed according to the 3D image. Then the lungs are inflated with atmospheric air. Without waiting for the lungs to collapse, the hilum is revealed using an oval clamp and the hilar nodes are dissected; then, the target segmental bronchus is divided. On deflation of the lung, the segments to be preserved collapse and lung parenchyma turns dark purple, while the target segment collapses but remains pink in color. A demarcation line appears between the target segment and the lung that is to be preserved; this represents the anatomic intersegmental plane. The target segment bronchus is severed and the target segment resected using an ultrasonic knife and stapler. The target segmental bronchus can be cut either immediately after the lung is inflated or after the lymph nodes are removed. After it is cut, the distal stump can be closed or left open; this does not affect the formation of the intersegmental plane.

• Category: Segmentectomy,Contest 2020
• Duration: 08:57
• Date:  4 years ago
• Tags:   2020手术视频大赛+no, waiting肺段rs9+10