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ISSN 1665-2576 (Print)

2009, Number 3-4

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Rev Mex Cir Endoscop 2009; 10 (3-4)

Minimally Invasive Thoracic Surgery with Large Vessel Dissection (Experimental Procedure in a Corpse)

Hernández RR, Fregoso AJM, Evaristo MG, Altamirano LMA, Ventura GJF, Anaya PR, Lazos RO, Fregoso ALE, Hernández RJG

Language: Spanish
References: 8
Page: 118-121
PDF size: 149.29 Kb.


ABSTRACT

Background: Video-assisted thoracoscopic surgery is used to treat several cardiothoracic pathologies as an alternative to conventional surgery. However, this technique requires that surgeons be familiar with the thoracic endoanatomy. Methods: In 5 human cadavers was performed video-assisted thoracoscopy with 4 ports and an additional work for the camera. The pulmonary hilum, the inferior vena cava, the union of the superior vena cava with the azygos vein, the brachiocephalic veins, brachiocephalic trunk, common carotid and left subclavian were clearly identified. Results: The mean operative time was 70 minutes (range 62 - 74, SD ± 5.07). There were no injuries to adjacent structures. Conclusions: The model described here showed the feasibility of making the identification of the major thoracic vessels by video-assisted thoracoscopy.


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