Gossot Atlas of endoscopic major pulmonary resections

1. Auflage 2011
ISBN: 978-2-287-99777-8
Verlag: Springer Paris
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 170 Seiten

It is my greatest honor to be asked to write this foreword for the first edition of the Atlas of Endoscopic Major Pulmonary Resections by Dr Dominique Gossot. I have known Dr Gossot for over 15 years and have worked with him for many workshops and thoracic meetings. He is a pioneer in video-assisted thoracic surgery, and one of the most innovative thoracic surgeons I have known. Minimally invasive surgery has set a new standard of care for all surgical disciplines. Video-assisted thoracic surgery (VATS) offers a much kinder approach to the management of a wide variety of surgical conditions c- pared with conventional thoracotomy for these patients. Anatomical or major lung resections are a complex set of procedures commonly performed by thoracic s- geons. The adoption of the VATS approach for these procedures has received increasing acceptance by the thoracic surgical community, our pulmonologist and oncology colleagues, as well as the patients over the past two decades. There is now a growing body of evidence in the literature showing that the VATS approach is safe, oncologically sound, and associated with much lower morbidity compared with its conventional counterparts in the management of early lung cancers and benign conditions. Although there have been other books and atlases on VATS, this volume distinguishes itself in two respects.

Autoren/Hrsg.

Gossot, Dominique

Inhaltsverzeichnis

1;Title Page;3
2;Copyright Page;4
3;Warning;5
4;Acknowledgments;6
5;Abbreviations and symbols used in this atlas;7
6;Table of Contents;8
7;Foreword;9
8;General considerations;10
9;Introduction;11
9.1;Bibliography;13
9.1.1;General aspects;13
9.1.2;Long-term results;13
9.1.3;Comparative studies and trials;13
9.1.4;Benign conditions;14
9.1.5;Clinical and immunological impact;14
9.1.6;Training and teaching;15
9.1.7;Technical aspects;15
9.1.8;Segmentectomies;15
10;Chapter I Tips and tricks;17
10.1;Ergonomics and operating room setting;17
10.2;Trocars;20
10.3;Enhancing vision and video-imaging;21
10.4;Obtaining pathological diagnosis;22
10.5;Exposure and lung retraction;22
10.6;Fissures;22
10.7;Exposure of bronchial and vascular elements;23
10.8;Vascular control;23
10.9;Vascular injuries;24
10.10;Intersegmental plane and division of the parenchyma;26
10.11;Specimen retrieval;27
10.12;Bibliography;28
10.12.1;General aspects;28
10.12.2;Instruments;28
10.12.3;Haemostatic devices;28
10.12.4;Technical tricks;28
11;Chapter II Endoscopic mediastinal lymph node dissection;30
11.1;Definition;30
11.2;Specific issues related to the endoscopic approach;30
11.3;Technique;31
11.3.1;Stations 11 and 12;31
11.3.2;Station 10;32
11.3.3;Stations 9 and 8;32
11.3.4;Station 7 (left-side approach);32
11.3.5;Stations 6 and 5;34
11.3.6;Station 7 (right-side approach);34
11.3.7;Stations 4R and 2R;37
11.4;Bibliography;39
11.4.1;General aspects;39
11.4.2;Thoracoscopic lymphadenectomy;39
12;Lobectomies;41
13;Chapter III Right upper lobe;42
13.1;Anatomical landmarks (Fig. 1);43
13.2;Technique 1: anterior approach;45
13.2.1;1. Hilum;45
13.2.2;2. Fissure and posterior artery;47
13.2.3;3. Bronchus;49
13.2.4;4. Division of the minor fissure;50
13.2.5;5. Division of the pulmonary ligament;51
13.2.6;6. Securing the middle lobe;51
13.3;Technique 2: posterior approach;52
13.3.1;1. Fissure and posterior artery;52
13.3.2;2. Bronchus;53
13.3.3;3. Truncus anterior;54
14;Chapter IV Middle lobe;55
14.1;Anatomical landmarks (Fig. 1);56
14.2;Technique;58
14.2.1;1. Fissure and lateral segmental artery;58
14.2.2;2. Fissure and vein;59
14.2.3;3. Bronchus;61
14.2.4;4. Medial segmental artery;61
14.2.5;5. Transverse fissure;62
15;Chapter V Right lower lobe;64
15.1;Anatomical landmarks (Fig. 1);65
15.2;Technique;67
15.2.1;1. Fissure and arteries;67
15.2.2;2. Inferior pulmonary vein;70
15.2.3;3. Bronchus;71
16;Chapter VI Left upper lobe;73
16.1;Anatomical landmarks (Fig. 1);74
16.2;Technique;76
16.2.1;Posterior approach;76
16.2.1.1;1. Fissure and lingular artery;76
16.2.1.2;2. Posterior arteries;79
16.2.1.3;3. Truncus anterior;81
16.2.1.4;4. Superior vein;83
16.2.1.5;5. Upper lobe bronchus;84
16.2.1.6;6. Pulmonary ligament;85
16.2.2;Anterior approach;87
16.2.2.1;1. Vein;87
16.2.2.2;2. Truncus anterior;87
16.2.2.3;3. Next steps;88
17;Chapter VII Left lower lobe;89
17.1;Anatomical landmarks (Fig. 1);90
17.2;Technique;93
17.2.1;1. Fissure and arteries;93
17.2.2;2. Vein;98
17.2.3;3. Bronchus;99
18;Segmentectomies;101
19;Chapter VIII Right upper lobe: apicoposterior segments;102
19.1;Anatomical landmarks (Fig. 1);103
19.2;Technique;105
19.2.1;1. Fissure and ascending posterior artery;105
19.2.2;2. Segmental bronchi;106
19.2.3;3. Apical artery;109
19.2.4;4. Apical vein;110
19.2.5;5. Division of the parenchyma;111
20;Chapter IX Right lower lobe: superior segment;113
20.1;Anatomical landmarks (Fig. 1);114
20.2;Technique;116
20.2.1;1. Fissure and artery;116
20.2.2;2. Bronchus;118
20.2.3;3. Vein;119
20.2.4;4. Parenchymal division;120
21;Chapter X Right lower lobe: basal segments;121
21.1;Anatomical landmarks (Fig. 1);122
21.2;Technique;124
21.2.1;1. Fissure and artery;124
21.2.2;2. Bronchus;126
21.2.3;3. Vein;127
21.2.4;4. Division of the parenchyma;129
22;Chapter XI Left upper lobe: superior segments;132
22.1;Anatomical landmarks (Fig. 1);133
22.2;Technique;135
22.2.1;a. Upper division;135
22.2.1.1;1. Veins;135
22.2.1.2;2. Truncus anterior;136
22.2.1.3;3. Fissure and posterior arteries;137
22.2.1.4;4. Bronchi;139
22.2.1.5;5. Parenchyma;140
22.2.2;b. Apicoposterior segmentectomy;141
22.2.2.1;1. Fissure and arteries;141
22.2.2.2;2. Vein;141
22.2.2.3;3. Bronchi;142
23;Chapter XII Left upper lobe: lingula;143
23.1;Anatomical landmarks (Fig. 1);144
23.2;Technique;146
23.2.1;1. Fissure and artery;146
23.2.2;2. Bronchus;147
23.2.3;3. Vein;148
23.2.4;4. Division of the parenchyma;149
24;Chapter XIII Left lower lobe: superior segment;150
24.1;Anatomical landmarks (Fig. 1);151
24.2;Technique;153
24.2.1;1. Fissure and artery;153
24.2.2;2. Bronchus;155
24.2.3;3. Vein;155
24.2.4;4. Parenchymal division;157
25;Chapter XIV Left lower lobe: basal segments;159
25.1;Anatomical landmarks (Fig. 1);160
25.2;Technique;162
25.2.1;1. Fissure and artery;162
25.2.2;2. Bronchus;164
25.2.3;3. Vein;165
25.2.4;4. Division of the parenchyma;167