VATS Left Upper Lobe Lobectomy

Tristan D. Yan

doi:doi:10.25373/ctsnet.13751038

Monday, February 8, 2021

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Tristan D. Yan

Joel Dunning

Yan TD, Dunning J. VATS Left Upper Lobe Lobectomy. February 2021. doi:10.25373/ctsnet.13751038

Welcome to the sixth of twelve videos that compose the series "Thoracic Surgical Oncology - Technical Approaches," by Professor Tristan D. Yan. To learn more about the series and see the complete list of videos, click here.

This series of video tutorials demonstrates how to perform VATS lobectomy in a safe and simple way, using the Edinburgh Posterior Approach, pioneered by Mr William Walker. This approach provides excellent visualization of the tips of the instruments, coming towards the endoscope. Each lobectomy generally takes less than 30 minutes to complete and total ipsilateral lymph node dissection is straightforward with this approach. In this video, the authors share some tips on how to handle silicotic lymph nodes during a VATS left upper lobe lobectomy.

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Comments

Submitted by Linda Martin on Wed, 2021-02-10 14:55

Love these videos. Can you please show the port placement externally? and where surgeon and assistants stand

Submitted by Tristan D. Yan on Fri, 2021-02-12 06:59

Please see this illustrated article for surgical set up. https://www.annalscts.com/article/view/3586/4457 The 3cm access incision is always made along the widest intercostal space at the anterior axillary line, which invariably corresponds to the anterior aspect of the oblique fissure. The dissectors and staplers are always passed through this incision along the axis of the oblique fissure for controlling and dividing the hilar structures.

Submitted by Oleg Pomomarenko on Sat, 2021-02-13 14:32

It is very impressive technique. You didn't open the mediastinal pleura on the anterior part. How you may be sure and don't take or damage the Phrenic nerve when You close SPV? Thank You.

Submitted by Tristan D. Yan on Sat, 2021-02-27 17:16

I didn’t, because with this technique, I lift the upper lobe out of the hilum, that additional step is not necessary.

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VATS Left Upper Lobe Lobectomy

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