title: Video-assisted thoracoscopic right lower lobectomy: the Tianjin Chest Hospital experience.
abstract: Video-assisted thoracoscopic surgery (VATS) is now well established as an alternative to open thoracotomy for major pulmonary resections of bronchogenic carcinoma and benign disease. More than 900 VATS major pulmonary resections have been performed in our center over the last 5 years and we here describe our method for VATS right lower lobectomy. In our center, procedures is performed with 3 incisions. For right lower lobes, the patient is placed into the left lateral position. The inferior pulmonary vein is dissected and divided with an endoscopic vascular stapler. The pulmonary artery branches to right lower lobe are divided with endoscopic staplers, and the lower lobe bronchus is divided at last. Throughout the procedure, hilar and mediastinal lymph nodes are dissected and removed in NSCLC. According to our experience, VATS is safe and feasible in thoracotomy for major pulmonary resections.
authors.affiliation: Tianjin Medical College, Tianjin 300222;
authors.forename: Xuefeng
authors.initials: X
authors.lastname: Lin
authors.forename: Daqiang
authors.initials: D
authors.lastname: Sun
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Hsu
authors.forename: Shuyuan
authors.initials: S
authors.lastname: Shi
authors.forename: Xindong
authors.initials: X
authors.lastname: Qu
authors.forename: Lei
authors.initials: L
authors.lastname: Zhang
keywords: Video-assisted thorascopic surgery (VATS); lobectomy; right lower lobe
references.citation: Ann Thorac Surg. 2008 Jul;86(1):323-6
references.pmid: 18573458
references.citation: J Thorac Cardiovasc Surg. 1993 Dec;106(6):1111-7
references.pmid: 8246547
references.citation: J Clin Oncol. 2009 May 20;27(15):2553-62
references.pmid: 19289625
references.citation: J Thorac Cardiovasc Surg. 2012 Mar;143(3):745-7
references.pmid: 21868042
references.citation: Ann Cardiothorac Surg. 2012 May;1(1):70-6
references.pmid: 23977470
references.citation: Innovations (Phila). 2007 Nov;2(6):293-302
references.pmid: 22437197
references.citation: Ann Cardiothorac Surg. 2012 May;1(1):11-5
references.pmid: 23977458
references.citation: Ann Thorac Surg. 2008 Dec;86(6):2008-16; discussion 2016-8
references.pmid: 19022040