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Thorac Cardiovasc Surg
DOI: 10.1055/a-2526-0828
“How to Do It”

Retrograde Simultaneous Ligation of Apico-ventral Vessels during VATS RUL

Alfonso Fiorelli 
1   Thoracic Surgery Unit, Università della Campania “Luigi Vanvitelli,” Naples, Italy
,
Vincenzo Di Filippo
1   Thoracic Surgery Unit, Università della Campania “Luigi Vanvitelli,” Naples, Italy
,
Giuseppe Vicario
1   Thoracic Surgery Unit, Università della Campania “Luigi Vanvitelli,” Naples, Italy
,
Francesca Capasso
1   Thoracic Surgery Unit, Università della Campania “Luigi Vanvitelli,” Naples, Italy
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Abstract

Thoracoscopic right upper lobectomy is a demanding procedure especially in case of hilar adhesions. Herein, we reported a simple technique of simultaneous ligation of hilar structures to facilitate thoracoscopic right upper lobectomy. After resections of fissures and of hilar lymph nodes, the following structures were sequentially isolated and simultaneously resected in their natural position: V2 + A2 vessels; right upper bronchus; and V1 + V3 + A1 + A3 vessels. This technique was successfully applied in nine patients. The mean hospitalization was 5.2 ± 3.3 days. No intraoperative and major postoperative complications were observed. All patients were alive without recurrence (median follow: 34 months).

Keywords

lung cancer - thoracoscopy - right upper lobe


Publication History

Received: 10 November 2024

Accepted: 27 January 2025

Accepted Manuscript online:
28 January 2025

Article published online:
02 May 2025

© 2025. Thieme. All rights reserved.

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