Completely video-assisted thoracoscopic lobectomy 1 cases.docVIP

 PAGE \* MERGEFORMAT 5 Completely video-assisted thoracoscopic lobectomy 1 cases Author: Wang Shu-Min, Yang Ying, Xu Guang [Keywords:] video-assisted thoracoscope; lung cancer; minimally invasive surgery Patients, male, 65 years old. 1 week pre-hospital medical unit of chest CT examination revealed a right lung lower lobe soft tissue density shadow with irregular edge banding leaf and burr. Admission diagnosis: right lung lower lobe lesions: lung cancer, very likely. After admission, improve the electrocardiogram, abdominal B-, whole body bone scan, head CT, pulmonary function, arterial blood gas and routine blood tests were conducted of the preoperative examination, after August 1, 2008 at inhalation general anesthesia, dual-chamber intubation satisfied, take the left side lying position, the left single-lung ventilation, regular disinfection of the operative field and laying out a single sterile surgical towel, the first of the right axillary line to take the 7th intercostal incision about 1.5 cm hole into the mirror, observe the See pleural cavity without adhesions and effusion, take the right anterior axillary line incision approximately 5.0 cm into the chest through the 5th intercostal space, as the main operation of the mouth incision without rib distraction distraction distraction device, etc. to any other right to take lateral subscapular-line incision of about 2.0 cm into the chest through the 7th intercostal space, as an auxiliary operation mouth. First, a free application of the right lung lower lobe vein-specific disposable endoscopic linear stapler (ENDO GIA 30-2.5) for closed and cut off, and then free up the right lung lower lobe bronchus (including the dorsal segmental bronchi) and in the middle of bronchial Open Remote using dedicated disposable endoscopic linear stapler (ENDO GIA 45-3.5) for closed and cut off, free out of the right lung lower lobe arteries (including the basilar artery and the dorsal segmental arteries dry) after the appli