vats with chest wall resection
DESCRIPTION
Disclosures Speaker for Ethicon VATS Lobectomy Courses Advisory Board for Ethicon Speaker for Covidien VATS Lobectomy CoursesTRANSCRIPT
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VATS with Chest Wall Resection
Robert J. McKenna M.D.Chief, Thoracic Surgery
Cedars Sinai Medical Center
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Disclosures• Speaker for Ethicon VATS
Lobectomy Courses• Advisory Board for Ethicon• Speaker for Covidien VATS
Lobectomy Courses
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Intercostal Muscle Flap
VATS Chest WallResection
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Intercostal Muscle Flap
•First mobilize through utility incision
•Then with VATS to vertebral body
VATS Chest WallResection
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•VATS for Pancoast Tumors
VATS Chest WallResection
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Traditional Posterior Approach
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Anterior Approach
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Pancoast: VATS Hybrid
9
Resect ribs 1-4
VATS Lobectomy
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Thanks Herbert Decaluwe
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tHANKS
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TOS
• Complete First Rib Resection:–Entire first rib–Cut by sternum–Disarticulate posteriorly
VATS Chest WallResection
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Venous Symptoms
VATS First RibResection ▓
Subclavian VeinFirst Rib
Costo-clavicular Ligament
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TOS Incisions VATS Chest Wall
Resection▓
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TOS Instruments VATS Chest Wall
Resection▓
14 “ Dale First Rib Rongeur
Cobb 11” Elevator
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VATS TOS Video
Rib Cutter
Rib
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Possibilities
Complex Procedures are Possible with
VATS
VATS Chest WallResection
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