TY - JOUR
T1 - A novel edge-marking method in pleural covering with video-assisted thoracic surgery
AU - Fujiwara-Kuroda, Aki
AU - Hida, Yasuhiro
AU - Ujiie, Hideki
AU - Kaga, Kichizo
AU - Kato, Tatsuya
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Total pleural covering is implemented to reinforce the visceral pleura with surgical sheets. It has been adopted for diffuse cystic lung diseases such as lymphangioleiomyomatosis to prevent pneumothorax and has achieved good results. The procedure is technically demanding, because it is difficult to cover the entire visceral pleura without disarrangement and jamming of surgical sheets, especially during thoracoscopic surgery, where grasping of a wrong site might happen when unfolding the sheets. Herein, we report a technique to cover the entire pleura with dotted line folded sheets to ease the thoracoscopic procedure. We found that the use of this marking method made the procedure easier, with just a little ingenuity, because marking the edges of sheets with dashed lines clarifies the site that should be grasped, thus preventing the incidence of grasping the wrong part of the sheet. Pleural covering with dotted line folded surgical sheets is a useful method for reduced port thoracoscopic surgery.
AB - Total pleural covering is implemented to reinforce the visceral pleura with surgical sheets. It has been adopted for diffuse cystic lung diseases such as lymphangioleiomyomatosis to prevent pneumothorax and has achieved good results. The procedure is technically demanding, because it is difficult to cover the entire visceral pleura without disarrangement and jamming of surgical sheets, especially during thoracoscopic surgery, where grasping of a wrong site might happen when unfolding the sheets. Herein, we report a technique to cover the entire pleura with dotted line folded sheets to ease the thoracoscopic procedure. We found that the use of this marking method made the procedure easier, with just a little ingenuity, because marking the edges of sheets with dashed lines clarifies the site that should be grasped, thus preventing the incidence of grasping the wrong part of the sheet. Pleural covering with dotted line folded surgical sheets is a useful method for reduced port thoracoscopic surgery.
KW - Covering technique
KW - Lymphangioleiomyomatosis
KW - Oxidized cellulose mesh
KW - Pleural covering
KW - Reduced port video-assisted thoracic surgery
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U2 - 10.1093/icvts/ivad046
DO - 10.1093/icvts/ivad046
M3 - Article
AN - SCOPUS:85182348565
SN - 1569-9293
VL - 36
JO - Interdisciplinary Cardiovascular and Thoracic Surgery
JF - Interdisciplinary Cardiovascular and Thoracic Surgery
IS - 3
M1 - ivad046
ER -