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- W4384133778 abstract ": Management of the pulmonary artery (PA) during the lung surgery is crucial for thoracic surgeons because the PA injury causes life-threatening hemorrhage. Dividing or sparing the left main PA is challenging during surgical resection of centrally located lung cancer that extends into the proximal portion of the left main PA or during the left completion pneumonectomy after the left upper lobectomy. Intrapericardial approach under median sternotomy and/or transection of the arterial ligament and Marshall ligament, are useful techniques to secure the left main PA. However, if the tumor is invading the arterial ligament or the arterial ligament has already transected at the previous surgery, these manipulations do not help sufficiently and extracorporeal life support system may be required. Herein, we report a new novel surgical elongation technique of the left main PA following intrapericardial release of the pulmonary arterial bifurcation. This surgical technique allows the pulmonary arterial bifurcation to mobilize freely from the mediastinal structure and enables safe securing a portion of the left main PA a few centimeters proximal to the arterial ligament. Sparing the left main PA can be safely successful. This surgical technique should be considered for thoracic surgeons in these challenging cases." @default.
- W4384133778 created "2023-07-14" @default.
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- W4384133778 date "2023-07-01" @default.
- W4384133778 modified "2023-09-23" @default.
- W4384133778 title "Intrapericardial release method of pulmonary arterial bifurcation: surgical technique to secure left pulmonary artery" @default.
- W4384133778 doi "https://doi.org/10.21037/jovs-22-29" @default.
- W4384133778 hasPublicationYear "2023" @default.
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