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Eur J Cardiothorac Surg 2007;31:129-131. doi:10.1016/j.ejcts.2006.10.017
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

How-to-do-it

How to clamp the main pulmonary artery during video-assisted thoracoscopic surgery lobectomy

Atsushi Watanabe*, Tetsuya Koyanagi, Shinji Nakashima, Tetsuya Higami

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan

Received 4 August 2006; received in revised form 3 October 2006; accepted 9 October 2006.

* Corresponding author. Tel.: +81 11 611 2111x3312; fax: +81 11 613 7318. (Email: atsushiw{at}sapmed.ac.jp).

We sometimes run across difficulty in dissection of the pulmonary arteries due to dense pleural adhesions and bleeding from the pulmonary artery during the video-assisted thoracoscopic surgery (VATS) lobectomy. In these cases, conversion of the VATS approach to open thoracotomy is a requisite. The presence of an easy and safe technique for pulmonary artery clamping will make the switch of the surgical procedure unnecessary. We developed the new technique for pulmonary artery clamping using 1-0 silk suture. This may become one of the standard techniques for pulmonary artery clamping not only in VATS but also in open thoracotomy, as well.

Key Words: Lung cancer • VATS lobectomy • Pulmonary artery clamping




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T. Sakuragi, Y. Okazaki, M. Mitsuoka, and T. Itoh
Dramatic hemostasis of the transected pulmonary artery model using SOFT COAG electrosurgical output
Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 764 - 766.
[Abstract] [Full Text] [PDF]


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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.