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Thoracoscopic Lobectomy

Thoracoscopic Lobectomy. George W. Holcomb, III, M.D., MBA Children’s Mercy Hospital Kansas City, Missouri. Indications. Intralobar sequestration CCAM Bronchiectesis Lobar emphysema Other lobar conditions. Principles. Single lung ventilation Double lumen ETT

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Thoracoscopic Lobectomy

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  1. Thoracoscopic Lobectomy George W. Holcomb, III, M.D., MBA Children’s Mercy Hospital Kansas City, Missouri

  2. Indications • Intralobar sequestration • CCAM • Bronchiectesis • Lobar emphysema • Other lobar conditions

  3. Principles • Single lung ventilation • Double lumen ETT • Contralateral mainstem intubation • Bronchial blocker

  4. Principles • Lateral patient position • Monitor over patient’s shoulder • Surgeon/assistant on anterior side of patient • Work medial to lateral; do not flip lung over • Do not hesitate to convert

  5. Equipment • Harmonic scalpel • LigaSure • Stapler • Clips

  6. CMH Experience • 14 Pts • 12 Successful • 2 Conversions

  7. Thoracoscopic Middle Lobectomy

  8. Thoracoscopic Left Lower Lobectomy

  9. ? ? ?

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