HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kohno, T. Articles by Wakabayashi, A. Search for Related Content PubMed PubMed Citation Articles by Kohno, T. Articles by Wakabayashi, A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 729-731, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Anatomic lobectomy of the lung by means of thoracoscopy. An experimental study

T Kohno, T Murakami and A Wakabayashi
Department of Surgery, University of California, Irvine.

We conducted this study in an attempt to investigate whether anatomic lobectomy can be performed through a thoracoscope. Twelve lower (seven left and five right) and six left upper lobectomies were done in 17 pigs weighing 60 to 90 kg. With the use of general anesthesia and one- lung ventilation, a thoracoscope and operating instruments were inserted through four or five trocars. First, the incomplete fissure was bluntly dissected with specially designed cotton-tipped dissectors and divided by an electrocautery spatula or sapphire contact-tip neodymium: yttrium aluminum garnet laser probe. The pulmonary artery and its branches were similarly dissected. Two ligatures were passed around the vessels by endoscopic right-angle clamps and tied by means of an extracorporeal tying technique. The vessels were clipped and divided. In two animals, a hidden branch of the pulmonary artery was inadvertently cut. Bleeding was readily controlled with the dissector until metal clips could be applied. The bronchus was similarly dissected and divided and the proximal stump was closed with sutures. The pulmonary vein was dissected bluntly by the same technique and divided. The excised lobe was placed in a plastic bag and pulled out through one of the trocar holes after the hole had been enlarged to 3 cm. Blood loss was minimal. In conclusion, anatomic lobectomy of the lung by means of thoracoscopy was feasible in the pig.

This article has been cited by other articles:

				N. Shigemura, A. Akashi, and T. Nakagiri New operative method for a giant bulla: sutureless and stapleless thoracoscopic surgery using the Ligasure system Eur. J. Cardiothorac. Surg., October 1, 2002; 22(4): 646 - 648. [Abstract] [Full Text] [PDF]

				K. Miyaji, R. L. Hannan, J. Ojito, J. M. Dygert, J. A. White, and R. P. Burke Video-assisted cardioscopy for intraventricular repair in congenital heart disease Ann. Thorac. Surg., September 1, 2000; 70(3): 730 - 737. [Abstract] [Full Text] [PDF]

				A. A. Conlan, C. Hsi, B. R. Soller, J. M. BelleIsle, and T. J. Vander Salm Thoracoscopic Lobectomy With Endoarterial Vascular Control: An Experimental Study in Swine Ann. Thorac. Surg., February 1, 1998; 65(2): 336 - 339. [Abstract] [Full Text] [PDF]

				A. Furuse, T. Kohno, and T. Ohtsuka Intraoperative visualization of the aortic valve from the left ventricle J. Thorac. Cardiovasc. Surg., February 1, 1995; 109(2): 395 - 395. [Full Text]