Get Atlas of Thoracic Surgical Techniques: A Volume in the PDF

By Joseph B. Zwischenberger

ISBN-10: 141604017X

ISBN-13: 9781416040170

Atlas of Thoracic Surgical recommendations, a name within the Surgical thoughts Atlas sequence edited through Drs. Townsend and Evers, provides cutting-edge updates at the complete diversity of thoracic surgeries played at the present time. Dr. Joseph B. Zwischenberger, in addition to esteemed foreign members, will give you professional suggestion on a number of thoracic innovations, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic ways to many methods that can assist you extend your repertoire and hone your scientific talents. colour illustrations improve the exact directions, and professional seek advice performance offers easy accessibility to the entire textual content online.

  • Includes handy entry to the full-text on-line at
  • Offers step by step tips on quite a few thoracic surgical innovations, supplying you with extra innovations for the demanding situations you face.
  • Discusses the most well liked themes in thoracic surgical procedure, together with lung-volume relief surgical procedure, video-assisted thoracoscopic surgical procedure, and laparoscopic methods to many procedures.
  • Presents greater than two hundred full-color illustrations and step by step intraoperative images for specialist visible guidance.
  • Discusses pearls and pitfalls that will help you keep away from complications.
  • Uses a constant, easy-to-follow bankruptcy structure that comes with medical anatomy, pre-operative concerns, operative steps, and post-operative care to make reference easy.

Visually grasp quite a lot of operative concepts, with authoritative guidance

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Additional info for Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series

Sample text

6-mm stapler is used for the resection.  A ring forceps is brought through an access port and used to elevate the mass (Fig. 2-6). Caution must be exercised not to crush or manipulate the SPN so as to not affect the pathologic interpretation.  The stapler is often maneuvered between several of the access ports to complete the wedge resection.  A resection can also be performed using electrocautery, the cautery being used to excise the mass. Following the resection, the lung parenchyma is closed with intracorporeal suture techniques.

The incision is tunneled posteriorly through the tissues so that the instruments through the incision point toward the major fissure, not straight down toward the pericardium.  The 5-mm trocar and thoracoscope are placed through the eighth intercostal space in the posterior axillary line.  The third incision is the utility incision. For an upper lobe, the incision begins at the edge of the latissimus muscle and extends anteriorly about 4 cm. The interspace is chosen by looking in the pleural space and retracting the lung posteriorly.

Preoperative localization of lesion (video-assisted thoracoscopic surgery [VATS])  It may be difficult to visualize or palpate the nodule during the VATS procedure.  Preoperative guidance can come in several forms, often placed before the procedure:  CT-guided wire-hook placement  Placement of metallic microcoils  Navigational bronchoscopy  Percutaneous staining of lesion with methylene blue  Intraoperative ultrasound guidance  Transthoracic injection of radiolabeled tracer with intraoperative localization  Intraoperative real-time CT imaging Step 3.

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Atlas of Thoracic Surgical Techniques: A Volume in the Surgical Techniques Atlas Series by Joseph B. Zwischenberger

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