Abstract
Left upper lobectomies are reputed to be hazardous because of the need of controlling the mediastinal branches of the pulmonary artery, which can be short and fragile. Any tear would cause massive hemorrhage and would require immediate conversion to thoracotomy. Thus, an endoscopic approach for left upper lobectomy may seem unreasonable. However, thanks to the close-up vision and magnification provided by the thoracoscope, dissection can be accurate and safe. Two anomalies should lead to abandon the procedure and convert to thoracotomy: (1) a very short truncus anterior, especially if it is partly obscured by the lobar bronchus, and (2) adherent lymph nodes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag France, Paris
About this chapter
Cite this chapter
Gossot, D. (2010). Left upper lobe. In: Atlas of Endoscopic Major Pulmonary Resections. Springer, Paris. https://doi.org/10.1007/978-2-287-99777-8_7
Download citation
DOI: https://doi.org/10.1007/978-2-287-99777-8_7
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-99776-1
Online ISBN: 978-2-287-99777-8
eBook Packages: MedicineMedicine (R0)