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Patient position in thoracoscopy

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  • Admin
    Administrator

    • Sep 2020
    • 6951

    #1

    a_clinical_pearl Patient position in thoracoscopy

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  • Admin
    Administrator

    • Sep 2020
    • 6951

    #2
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    • Admin
      Administrator

      • Sep 2020
      • 6951

      #3
      Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

      "For routine lung biopsies or lung resections, the patient is placed in a standard lateral decubitus position, which provides for excellent visualization and access to all surfaces of the lung. This position is also the most beneficial set-up for decortications, pleurodesis, and other procedures in which the surgeon may need access to the entire pleural or lung surface. For anterior mediastinal surgery such as thymectomy, aortopexy, or biopsy, or for resection of anterior tumors or lymph nodes, a three-quarters posterolateral decubitus position should be chosen (Fig. 11.3). For posterior mediastinal surgery, including foregut duplications, esophageal atresia, and procedures involving the esophageal hiatus, a three-quarters anterolateral decubitus position should be used (Fig. 11.4). In addition, the patient can then be placed in Trendelenburg or reverse Trendelenburg as needed to help keep the lung out of the field of view."
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