Technique for Right Upper Lobectomy

This video demonstrates a right upper lobectomy. Although there is never a perfect case, the authors believe they are doing many things correctly with this technique.

First, this is a training case. The authors try to train as much as possible without causing delays. They achieve this by having the training surgeon complete bedside stapling to keep the cadence of the case going nicely.

Second, the authors use cryoanalgesia to help with pain relief. They  hope to set up a randomized controlled trial to demonstrate how well this works. In addition, the authors have a protocol for local blocks, including every intercostal nerve and the phrenic nerve.

This video shows what the authors think is an excellent lymphadenectomy, and they then complete the lobectomy safely and without danger to any of the vascular structures.

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