Open Wedge Resection
Figure 12.1 Single-stapler resection aided by a cotton peanut retracting the lung tissue toward the cartridge hinge Figure 12.2 Trapezoidal resection, with the final stapling connecting both ends of the…
VATS Wedge Resection
Figure 11.1 Patient positioning and port distribution for conventional three-port VATS wedge resection. With the patient in the lateral decubitus position, the target area in the lung is placed at…
Malignant Tracheal Tumors
Figure 8.1 After general endotracheal anesthesia is established, the endotracheal tube usually is placed beyond the tumor under bronchoscopic guidance in all but the most distal tumors. Airway obstruction should…
Laser Resection of Metastases
Figure 13.1 (a, b) Laser resection of small metastases located at the lung periphery is easy and self-explanatory. Using the diode laser system, the bare fiber is grasped with a…
Carinal Resection and Reconstruction
Figure 10.1 (a, b) The most common type of resection involves the carina and right lung; the reconstruction is perfomed by end-to-end anastomoses between the distal trachea and left main…
Tracheobronchoplasty
Figure 7.1 The patient receives general anesthesia and is intubated with a modified double-lumen endotracheal tube. To facilitate custom resizing of the airway, the tracheal lumen of a double-lumen tube…
Thoracotomy and Sternotomy
Figure 2.1 (a, b) Anterior thoracotomy. The patient is placed in the lateral decubitus position with the back toward the edge of the table, with the middle of the table…
Video-Assisted Thoracoscopic Surgery
Figure 1.1 Standard positioning of the patient for VATS is lateral decubitus with flexion of the torso. The point of flexion should be about two fingers below the tip of…
Systemic Vasculitides
Fig. 18.1 Giant cell arteritis. (a) Low-power photomicrograph of aortitis due to giant cell arteritis with large-vessel involvement. In the middle of the aortic media (arrows) is a band of…
Arteriosclerosis/Large Artery Disease
Arteriosclerosis Atherosclerosis Stiffens aorta Little effect Dilates aorta Occludes Media Intima Diffuse Focal Age and blood pressure Cholesterol and smoking Cushion function Conduit function The key functions of the arterial…
