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Titlebook: Atlas of Endoscopic Major Pulmonary Resections; Dominique Gossot Book 2021Latest edition The Editor(s) (if applicable) and The Author(s),

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Richard S. DeFrank,Cary L. Cooperforward, with an easy dissection and control of the arterial trunk. If the fissure is fused and/or thick, dissection of the artery can be tedious. In these cases, it can be advisable to start the procedure by opening the anterior part of the fissure and approaching the arteries from the front.
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Jessica L. Martin,Kimmerly Harrell In addition, when the procedure is done for lung carcinoma, lymph node dissection of station 7 can be difficult because the venous and bronchial stumps can hamper the approach to the subcarinal region (see page?). It may be preferable performing lymph node dissection before the lobectomy.
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Richard S. DeFrank,Cary L. Cooper superior pulmonary vein (SPV) as usually done during conventional open surgery (Ke et al. 2017). However, an anterior dissection can be hazardous, especially in some overweight patients in whom identification of vessels is not easy. Confusing the main PA and the TA, or stapling the PA trunk has been reported (Decaluwe et al. 2015).
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Suzan N. C. Lewis,Cary L. Coopergreatly facilitates control of the bronchus and arteries. However, this approach must be modified in case of anatomical variation. The mastery of upper and middle lobectomies makes it possible to perform an upper-middle bilobectomy, which will be addressed at the end of this chapter.
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Jessica L. Martin,Kimmerly Harrell In addition, when the procedure is done for lung carcinoma, lymph node dissection of station 7 can be difficult because the venous and bronchial stumps can hamper the approach to the subcarinal region (see page?). It may be preferable performing lymph node dissection before the lobectomy.
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