How to avoid "en masse" lobectomy using VATS technique in presence of hilar fibrosis

Monaldi Arch Chest Dis. 2021 Mar 19. doi: 10.4081/monaldi.2021.1633. Online ahead of print.ABSTRACTPerivascular fibrosis is technically one of the most challenging issue to manage during thoracoscopic lobectomy and it is associated with increased risk of hemorrhagic injury. Here we report a case of thoracoscopic right lower lobectomy performed with individual dissection of segmental arteries due to dense adventitial fibrosis around the right lower lobe pulmonary artery. This approach may be considered as an alternative to the so-called "en masse" lobectomy and a way to avoid conversion to thoracotomy.PMID:33794597 | DOI:10.4081/monaldi.2021.1633
Source: Monaldi Archives for Chest Disease - Category: Respiratory Medicine Authors: Source Type: research