Keywords:
Electronic books.
Type of Medium:
Online Resource
Pages:
1 online resource (544 pages)
Edition:
1st ed.
ISBN:
9780323957878
URL:
https://ebookcentral.proquest.com/lib/geomar/detail.action?docID=30711976
Language:
English
Note:
Intro -- Atlas of Thoracoscopic Anatomical Pulmonary Subsegmentectomy -- Copyright -- Contents -- Contributors -- Acknowledgments -- Part One: Theoretical background -- Chapter One: History of pulmonary segmentectomy and subsegmentectomy -- References -- Chapter Two: Subsegmental anatomy of the lungs -- 1. Development of nomenclature for subsegmental anatomy -- 1.1. Beginning of segmental study -- 1.2. Advances of segmental study -- 1.3. Maturation of segmental nomenclature -- 1.4. The future -- 2. Nomenclature of pulmonary segments -- 2.1. Nomenclature of segments and subsegments of lungs -- 2.1.1. Right lung [Pulmo dexter] -- Superior lobe of right lung [Lobus superior pulmonis dextri] -- Middle lobe of right lung -- Inferior lobe of right lung [Lobus inferior pulmonis dextri] -- 2.1.2. Left lung [Pulmo sinister] -- Superior lobe of left lung [Lobus superior pulmonis sinistri] -- Upper division (S1+2+S3) -- Lingular/lower division [Ligula pulmonis sinistri] -- Inferior lobe of left lung -- 2.2. Nomenclature of segmental and subsegmental bronchi -- 2.2.1. Right main bronchus [Bronchus principalis dexter] -- Right superior lobar bronchus [Bronchus lobaris superior dexter] -- Middle lobar bronchus (B4+5) [Bronchus lobaris medius] -- Right inferior lobar bronchus [Bronchus lobaris inferior dexter] -- 2.2.2. Left main bronchus [Bronchus principalis sinister] -- Left superior lobar bronchus [Bronchus lobaris superior sinister] -- Upper division bronchus (B1+2+B3) -- Lingular/lower division bronchus (B4+5) [Bronchus lingularis] -- Left inferior lobar bronchus [Bronchus lobaris inferior sinister] -- 2.3. Nomenclature of segmental and subsegmental arteries -- 2.3.1. Right pulmonary artery [Arteria pulmonanis dextra] -- Superior lobar artery [Arteria lobaris superior pulmonis dextri] -- Middle lobar artery [Arteria lobaris media pulmonis dextri].
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Right inferior lobar artery [Arteria lobaris inferior pulmonis dextri] -- 2.3.2. Left pulmonary artery [Arteria pulmonanis sinistra] -- Left superior lobar artery [Arteria lobaris superior pulmonis sinistri] -- Upper division artery (A1+2+A3) -- Lingular/lower division artery (A4+5) [Arteria lingularis pulmonia sinistri] -- Left inferior lobar artery [Arteria lobaris inferior pulmonis sinistra] -- 2.4. Nomenclature of segmental and intersegmental veins -- 2.4.1. Right pulmonary vein [Vena pulmonalis dextra] -- Right superior pulmonary vein [Vena pulmonalis dextra superior] -- Right inferior pulmonary vein [Vena pulmonalis dextra inferior] -- 2.4.2. Left pulmonary vein [Vena pulmonalis sinistra] -- Left superior pulmonary vein [Vena pulmonalis sinistra superior] -- Left inferior pulmonary vein [Vena pulmonalis sinistra inferior] -- 3. Branching patterns of segmental bronchi, arteries and veins -- References -- Chapter Three: Formation of three-dimensional broncho-vascular images -- 1. History of three-dimensional pulmonary broncho-vascular reconstruction -- 1.1. 3D bronchial tree -- 1.2. 3D pulmonary vascular tree -- 1.3. 3D-CTBA -- 2. Method of thoracic 3D reconstruction -- 2.1. Thoracic 3D reconstruction -- 2.2. Standards of high-quality 3D reconstruction images -- 2.3. Commonly used 3D reconstruction software -- 2.3.1. DeepInsight -- 2.3.2. OsiriX -- 2.3.3. Mimics -- 2.3.4. Synapse 3D -- 2.4. Operation process of 3D-CTBA reconstruction software -- 3. Chest image data acquisition for 3D reconstruction -- 3.1. High-quality data for thoracic 3D reformation -- 3.2. Quality control for CT data acquisition -- 3.3. Chest scan method used by Center of Thoracic Surgery, Jiangsu Province Hospital -- 3.4. Adverse reactions and management of iodine containing contrasts38 -- 3.4.1. Classification of adverse reactions -- 3.4.2. Symptoms -- 3.4.3. Treatment.
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References -- Chapter Four: Theory and key techniques in cone-shaped pulmonary segmentectomy -- 1. Theory of cone-shaped segmentectomy -- 1.1. Anatomy and concepts of cone-shaped segmentectomy -- 1.2. Clinical anatomy for cone-shaped segmentectomy -- 1.2.1. Apex of cone -- 1.2.2. Segmental pulmonary veins -- 1.2.3. Non-dissociative conical surface -- 2. Planning of segmentectomy guided by 3D-CTBA navigation -- 2.1. Preoperative surgical simulation -- 2.1.1. Subsegmental localization of pulmonary nodules and determination of surgical approach -- 2.1.2. Identification of target segmental blood vessels and bronchi -- 2.1.3. Surgical approach and process -- 2.2. Precise intraoperative navigation -- 2.2.1. Identification and matching of virtual and real anatomical structures -- 2.2.2. Common problems in matching and identification -- 2.2.3. Role of 2D CT in preoperative planning -- 3. Precise demarcation of intersegmental interfaces -- 3.1. Differential ventilation method -- 3.1.1. Target segment deflation method -- 3.1.2. Target segment inflation via bronchial ventilation -- 3.1.3. Modified inflation-deflation method (Inflation-deflation method based on collateral ventilation) -- 3.2. Differential tissue staining method -- 4. Anatomical dissection of intersegmental interfaces -- 4.1. Blunt dissection -- 4.2. Stapler dissection -- 4.3. Energy equipment dissection -- 4.4. Combined sharp and stapler dissection -- 5. Individualized pulmonary nodule resection based on three-dimensional nodule localization and subsegment as surgical unit -- 5.1. Depth of nodule and selection of surgical approach -- 5.2. Subsegmental attribution of pulmonary nodule and choice of surgical procedure -- 5.2.1. Single subsegmentectoly (SSS) -- 5.2.2. Intrasegmental combined subsegmentectomy (intra-CSS) -- 5.2.3. Intersegmental combined subsegmentectomy (inter-CSS) -- References.
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Chapter Five: Surgical process and management of patients -- 1. Indications for segmentectomy and subsegmentectomy -- 1.1. Benign pulmonary diseases -- 1.2. Malignant pulmonary diseases -- 2. Preoperative preparation of surgical equipment and instruments -- 2.1. Thoracoscopic equipment -- 2.2. Thoracoscopic instruments -- 3. Anesthesia, patient position, and incisions -- 3.1. Anesthesia -- 3.2. Patient position -- 3.3. Incisions -- 4. Localization of nodules in surgery -- 5. Intraoperative considerations -- 5.1. Identification of segmental blood vessels and bronchi -- 5.2. Management of segmental blood vessels and bronchi -- 5.3. Determination and management of intersegmental interfaces -- 5.3.1. Determination of intersegmental interfaces -- 5.3.2. Division of intersegmental interfaces -- 5.4. Intraoperative considerations -- 5.4.1. Lymph node sampling -- 5.4.2. Surgical margin -- 5.4.3. Management of air leak -- 5.4.4. Avoidance of retaining transected distal bronchial and vascular stumps -- 5.4.5. Assure hemostasis in preserved segments -- 5.4.6. Prevention of pulmonary torsion -- References -- Chapter Six: Common complications and management -- 1. Intraoperative complications and management -- 1.1. Vascular injury -- 1.2. Bronchial injury -- 1.3. Injury of intersegmental interface -- 1.4. Insufficient surgical margin -- 2. Postoperative complications and management -- 2.1. Air leak -- 2.2. Bronchial fistula -- 2.3. Hemoptysis -- References -- Part Two: Subsegmentectomies -- Chapter Seven: Subsegmentectomy in the right upper lobe -- 1. Single subsegmentectomy -- 1.1. Resection of apical subsegment of apical segment of right upper lobe (RS1a) -- 1.2. Resection of anterior subsegment of apical segment of right upper lobe (RS1b) -- 1.3. Resection of posterior subsegment of posterior segment of right upper lobe (RS2a).
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1.4. Resection of lateral subsegment of posterior segment of right upper lobe (RS2b) -- 1.5. Resection of medial subsegment of anterior segment of right upper lobe (RS3b) -- 2. Combined subsegmentectomy -- 2.1. Resection of apical subsegment of apical segment and posterior subsegment of posterior segment of right upper lobe ( ... -- 2.2. Resection of lateral subsegment of posterior segment and lateral subsegment of anterior segment of right upper lobe ... -- 2.3. Resection of anterior subsegment of apical segment and lateral subsegment of anterior segment of right upper lobe (R ... -- 3. Subsubsegmentectomy -- 3.1. Resection of subsubsegment i of medial subsegment of anterior segment of right upper lobe (RS3bi) -- 3.2. Resection of subsubsegment ii of medial subsegment of anterior segment of right upper lobe (RS3bii) -- 3.3. Resection of anterior subsegment of apical segment and subsubsegment i of medial subsegment of anterior segment of r ... -- 3.4. Resection of lateral subsegment of posterior segment and subsubsegment ii of lateral subsegment of anterior segment ... -- 4. Triple subsegmentectomy -- 4.1. Resection of anterior subsegment of apical segment, subsubsegment i of lateral subsegment of anterior segment, and s ... -- Chapter Eight: Subsegmentectomy in the left upper lobe -- 1.Single subsegmentectomy -- 1.1. Resection of apical subsegment of apicoposterior segment of left upper lobe (LS1+2a) -- 1.2. Resection of lateral subsegment of apicoposterior segment of left upper lobe (LS1+2c) -- 1.3. Extended resection of medial subsegment of anterior segment of left upper lobe (LS3b) -- 1.4. Resection of superior subsegment of anterior segment of left upper lobe of (LS3c) -- 1.5. Resection of lateral subsegment of superior lingular segment of left upper lobe (LS4a) -- 2.Double subsegmentectomy.
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2.1. Resection of apical subsegment and posterior subsegment of apicoposterior segment of left upper lobe (LS1+2a+b).
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