FIELD: medicine, surgery, oncology.
SUBSTANCE: one should ligate superior pulmonary vein, suture superior lobar bronchus, mobilize and temporarily clip left-hand pulmonary artery near pericardium and the section of inferior lobar artery in interlobar fissure and remove together with mobilized superior pulmonary lobe. Integrity should be restored with a fragment cut out of pericardium in the form of a truncated pyramid, its length being equal to that of resected arterial part, its bottom being equal to the length of circumference of resected arterial part, the top is equal to circumference length of resected arterial part. This fragment should be rolled up into conical tube, its free sides should be sutured with atraumatic suture. One should anastomose the conical transplant with resected parts by "end-to-end" technique. The method enables to keep inferior lobe of left-hand lung.
EFFECT: higher convenience during operation.
2 dwg
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Authors
Dates
2005-07-10—Published
2003-03-24—Filed