By Douglas J. Mathisen MD, Christopher Morse
- See precisely the way to practice the whole diversity of pulmonary resection procedures, either open and minimally invasive, together with wedge resection, lobectomy, pneumonectomy, and more.
- Gain insights from foreign authorities, gleaning every one expert’s most well-liked ideas in wealthy detail.
- Efficiently review historical past, symptoms and contraindications, surgical strategies, avoidance of pitfalls, and administration of problems and effects for every technique, in addition to chosen references for extra reading.
- Don’t leave out Thoracic surgical procedure: Transplantation, Tracheal Resections, Mediastinal Tumors, prolonged Thoracic Resections, the spouse quantity by way of Drs. Mathisen and Morse.
- Expand your repertoire with different volumes in theMaster recommendations in Surgery sequence! Overseen through Josef E. Fischer, MD, editor of the vintage two-volume reference Mastery of Surgery, those titles disguise quite a lot of universal and complex approaches within the significant subspecialties of normal surgical procedure, together with breast surgical procedure, colon and rectal surgical procedure, esophageal surgical procedure, gastric surgical procedure, hepatobiliary and pancreatic surgical procedure, and hernia.
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Extra resources for Master Techniques in Surgery: Thoracic Surgery: Lung Resections, Bronchoplasty
Once the operator is satisfied with that, further removal of tumor can be done with rigid biopsy forceps. The bronchoscope that allows visualization through a telescope inserted into the rigid bronchoscope to the end of the bronchoscope and then biopsy forceps being passed next to them, allows for direct vision and is preferable in these circumstances (Fig. 5A,B). Once it has been determined that the tumor is of certain consistency and vascularity that allows proceeding with coring out of the tumor, this can be done with multiple bites with the biopsy forceps or using the tip of the rigid scope to corkscrew and gently “core out” the tumor.
Bronchial blockers can be positioned with the use of the flexible bronchoscope. The bronchial blocker ideally is passed around a single-lumen tube but sometimes can be passed through an endotracheal tube by scoring the rubber gasket on the connecting tubing between the anesthesia tubing and the endotracheal tube. A needle can be used to lacerate the cap, the bronchial blocker passed through that with the stopper in the end of the cap, and then positioned with the use of a flexible bronchoscope.
Bronchogenic and paraesophageal cysts can be visualized with EBUS and EUS. Aspiration of these cysts should be undertaken with caution because it may lead to infection and mediastinitis. CONTRAINDICATIONS EBUS and EUS, in general, are very safe procedures. There are few absolute contraindications: High-grade proximal airway obstruction, esophageal perforation, uncorrectable bleeding diathesis, high-grade respiratory failure, and a hemodynamically unstable patient. SURGERY The procedure starts with successful insertion of the scope in the trachea (EBUS) or the esophagus (EUS).
Master Techniques in Surgery: Thoracic Surgery: Lung Resections, Bronchoplasty by Douglas J. Mathisen MD, Christopher Morse