METHOD FOR SIMULTANEOUS BILATERAL PULMONARY RESECTION OUT OF ONE-SIDED LATERAL THORACOTOMY Russian patent published in 2003 - IPC

FIELD: medicine, pulmonary surgery. SUBSTANCE: one should carry out thoracotomy in V intercostal space. Pleural cavity should be lanced to perform pulmonary resection at the side of thoracotomy. On finishing this operation on the side of thoracotomy and evaluation of patient's state it is necessary to conduct posterior transmediastinal access dealing with dissection of mediastinal pleura on the side of thoracotomy between vagus nerve in the front, pulmonary radix at the top and pericardium at the bottom against the arch of unpaired vein followed by additional esophageal preparing against pericardium and pulmonary radix and its disposition backwards. Dissection of opposite mediastinal pleura should be carried out to the front against opposite vagus nerve. One should conduct revision and resection of inferior lobe of opposite lung. EFFECT: higher efficiency of resection.