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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
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
c. Division of Internal Mammary Vein (Post-op Bleeding)
d. Cervical Dissection
e. Extraction of Thymus 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 Interview
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Wedge Resection of the Lung and Thymectomy by Thoracoscopy
Henning A. Gaissert, MD
,
Lucia Madariaga, MD
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Henning A. Gaissert, MD
Lucia Madariaga, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
N/A
Article ID
181
Production ID
0181
Volume
N/A
Issue
181
DOI
https://doi.org/10.24296/jomi/181