Atlas des résections pulmonaires majeures par voie by Dominique Gossot

By Dominique Gossot

Le livre comprend 14 chapitres d?crivant les ?tapes options des lobectomies et segmentectomies pulmonaires, sous forme de images l?gend?es et accompagn?es d’un texte court docket. Des pictogrammes indiquent les « risks » et les « astuces concepts ».

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Additional resources for Atlas des résections pulmonaires majeures par voie endoscopique

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44 III - Lobe superieur droit Technique 2: abord posterieur L'exposition des elements vasculaires du hile (artere rnediastinale et veine pulmonaire superieure) peut etre delicate, surtout lorsque l'artere mediastinale est courte et proche de la veine. Dans ces cas, un abord posterleur avec section premiere de la bronche peut etre preferable. On expose ainsi la bifurcation de l'artere rnediastinale par en arriere. 1. Scissure et artere dorsale scissurale La section de la partie posterleure de la grande scissure et I'abord de l'artere dorsaIe scissurale sont faites comme decrit plus haut (Fig.

Bronche lobaire moyenne Veine du lobe moyen sectionnee Fig. L etlan d la veine du lobe moyen donne acces la bran n . 4. Artere segmentaire medlale La section de la bronc he ouvre I'espace et permet de dissequer l'artere rnediale dont l'hernostase est faite par clip ou par thermofusion (Fig. 6). Moignon bronchique _ A. segmentaire mediate A. segmentaire laterale dippee Moignon bronchique Fig 6 DIS etlan de l'artere segmentaire medi It' pres agrafage de la bronehe. 55 Atlas des resections pulmonaires majeures par voie endoscopique 5.

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