Figure 40.1 Positioning and approach. After the induction of general anesthesia, a double-lumen endotracheal tube is used to facilitate single-lung ventilation. Because blood loss is often significant with this procedure,…
Figure. 32.1 Minimally invasive thoracoscopic surgery using the three-armed da Vinci telemetric robotic system (Intuitive Surgical, Sunnyvale, CA). The procedure is performed under general anesthesia with single-lung ventilation. The patient…
Figure 16.1 Concept of ‘classic (conventional)’ segmental resection (segmentectomy). According to the classic (conventional) concept of segmental resection, the segmental artery and bronchus, which run parallel, are both divided at…
Figure 5.1 Deep inhalation or total intravenous anesthesia is selected to avoid muscle relaxation before the airway is secured. No advantage is gained from dilating a stricture slated to be…
1. First cleaning steps by tube, irrigation, etc. Dealing with bronchial stump in case of bronchopleural fistula 2. Débridement 3. Open window 4. Vacuum-assisted closure (VAC) 5. Space filling (a)…
Figure 17.1 Standard posterolateral thoracotomy incision. LD latissimus dorsi muscle Right Upper Lobectomy The lung is retracted laterally to place the superior hilar vessels on tension. The mediastinal pleura over…
Etiology Clinical appearance Size (British Medical Society) Spontaneous Closed pneumothorax (also called pneumothorax simplex) Small (lung <2 cm from the chest wall) Symptomatic Open pneumothorax Large (lung >2 cm from…
Figure 45.1 Positioning. The patient is placed in the supine position with both arms abducted at a 10° angle to minimize tension in the cervicothoracic crossing and brachial plexus. The…
Figures 50.1 and 50.2 (a–d) The most important step is radical surgical débridement with complete removal of all infected and necrotic material. This step also includes removal of all wires…
Complication Incidence (%) Atrial arrhythmia 20.2 Reintubation 5.6 Pneumonia 4.6 Adult respiratory distress syndrome 3.1 Tracheostomy 2.5 Ventilator support >48 h 2.1 Sepsis 1.7 Reoperation for bleeding 1.5 Ventricular arrhythmia…
