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Title
1. Introduction
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a. Overview of Case
b. Anesthetic Regime
c. Diagnostic Bronchoscopy
2. Right Lower Lobe Wedge Resection
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a. Patient Positioning and Access Ports Selection
b. Incision and Entry into Thoracic Cavity
c. Exposure of Lung Nodule
d. Dissection of Fissure
e. Lung Specimen Resection
f. Diagnostic Wedge Resection
g. Lymph Node Dissection from Fissure
h. Lymph Node Subcarinal Dissection
3. Thymectomy: Right-Sided Dissection
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a. Discuss Positioning and Overview
b. Thymic Tissue Isolation from Pericardial Fat
c. Mediastinum Dissection and Pleura Incision
d. Innominate Vein Dissection
e. Contralateral Pericardial Fat Dissection
f. Review
4. Thymectomy: Dissection Continued Anteriorly
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a. Repositioning Patient and Camera
b. Anterior Mediastinum Dissection
c. Division of Internal Mammary Vein (Post-op Bleeding)
d. Cervical Dissection
e. Review and Extraction and Examination of Specimen
5. Closure
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a. Chest Tube Insertion
b. Ensure Hemostasis
c. Lung Reexpansion
d. Close Incisions and Access Ports
6. Post-op Remarks
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Combined Thymectomy and Right Lower Lobe Pulmonary Wedge Resection by Thoracoscopy
M. Lucia Madariaga, MD
1
;
Henning A. Gaissert, MD
1
1
Massachusetts General Hospital
Tags:
General Surgery
Thoracic Surgery
Main Text
Procedure Outline
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Authors
M. Lucia Madariaga, MD
Henning A. Gaissert, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
6/7/2024
Article ID
181
Production ID
0181
Volume
2024
Issue
181
DOI
https://doi.org/10.24296/jomi/181