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Left VATS Upper Lobectomy

  • Marco Scarci
  • Benedetta Bedetti
  • Luca Bertolaccini
  • Ilaria Righi
  • Davide Patrini
  • Roberto Crisci
Chapter

Abstract

The left upper lobectomy is probably one of the most difficult to perform by uniportal approach because of the variable vascular anatomy and, sometime, the unfavourable angle to insert staplers. In this chapter we aim to provide a simple guidance on how to safely perform a uniportal left upper lobectomy sharing few tips and tricks.

Supplementary material

Video 1

Division of the truncus anterior (MP4 7067 kb)

Video 2

Division of the upper lobe vein (MP4 6703 kb)

Video 3

Division of the lingula (MP4 20257 kb)

Video 4

Fissureless exposure of the interlobar pulmonary artery (MP4 17213 kb)

Video 5

Division of left upper lobe bronchus with TA stapler (MP4 6819 kb)

Further Reading

  1. 1.
    Gonzalez-Rivas D, Fieira E, Delgado M, Mendez L, Fernandez R, de la Torre M. Uniportal video-assisted thoracoscopic lobectomy. J Thorac Dis. 2013;5(Suppl 3):S234–45.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Feng M, Lin M, Shen Y, Wang H. Uniportal video-assisted thoracic surgery for left upper lobe: single-direction lobectomy with systematic lymphadenectomy. J Thorac Dis. 2016;8(8):2281–3.CrossRefGoogle Scholar
  3. 3.
    Nadal SB, Munoz CG, De Jesus Venegas JJ, Mafe J. Uniportal left upper lobectomy with totally incomplete fissure. CTSnet video article: https://www.ctsnet.org/article/uniportal-left-upper-lobectomy-totally-incomplete-fissure.

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Marco Scarci
    • 1
  • Benedetta Bedetti
    • 2
  • Luca Bertolaccini
    • 3
  • Ilaria Righi
    • 4
  • Davide Patrini
    • 1
  • Roberto Crisci
    • 5
  1. 1.Thoracic Surgery UnitS. Gerardo HospitalMonzaItaly
  2. 2.Malteser HospitalBonnGermany
  3. 3.Department of Thoracic SurgeryAUSL Romagna Teaching HospitalRavennaItaly
  4. 4.IRCSS Cà Granda Maggiore HospitalMilanItaly
  5. 5.Thoracic Surgery Unit, “G. Mazzini” HospitalUniversity of L’AquilaTeramoItaly

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