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Minimally Invasive (VATS) Management of Pulmonary Arterial Bleeding in Segment 9
Lobinger D, Hiebinger A, Bodner J. Minimally Invasive (VATS) Management of Pulmonary Arterial Bleeding in Segment 9. March 2025. doi:10.25373/ctsnet.28673330
This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries from the competition, including the winning videos.
An 81-year-old female patient was admitted for surgical treatment of early-stage non-small cell lung cancer (NSCLC) in the right lower lobe for which a minimally invasive resection of segment 10 was indicated.
Bleeding occurred during the dissection of segmental artery 9, and after initial unsuccessful attempts to control the bleeding through compression, several clips were applied. Additionally, a tourniquet was applied for further local control.
The lesion was then treated with a monofilament suture, and the clips followed by the tourniquet were removed after the bleeding was controlled. The segmental artery 10 could then be safely detached.
The entire procedure was minimally invasive, and segment 10 was successfully resected. Pathologically, NSCLC pT1b with complete resection (R0) was confirmed, and the patient was discharged in a stable condition after eight days. This video shows that bleeding from a segmental artery can be safely managed using a minimally invasive approach.
References
- Liu, L., et al., International expert consensus on the management of bleeding during VATS lung surgery. Ann Transl Med, 2019. 7(23): p. 712.
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