Right Lower Lobe
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Difficulties of a right lower lobectomy mainly depend on the completeness of the major fissure. If the fissure is open, this lobectomy can be straightforward, with an easy dissection and control of the arterial trunk. If the fissure is fused and/or thick, dissection of the artery can be tedious. In these cases, it can be advisable to start the procedure by opening the anterior part of the fissure and approaching the arteries from the front.
Division of the posterior part of the major fissure (MOV 246389 kb)
Division of the anterior part of the major fissure (MOV 139354 kb)
Dissection and control of pulmonary arteries (MOV 332009 kb)
Preparation and control of the bronchial trunk. Note permanent checking of the middle lobe bronchus and the reventilation test (MOV 184960 kb)
Video (MOV 1708767 kb)