Use of 45º Applier for Polymer Clips through Uniportal VATS Lobectomy

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added:
8 years ago
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3087
specialty:
Thoracic Surgery

Case description

The new specifically designed 45º applier for uniportal VATS (Click aV, Grena) is very helpful during uniportal surgery. The use of 2 clips for the proximal end of small branches and the use of energy devices or ligation to cut the distal end of the vessel is recommended. There are two reasons for doing this: avoid the accidental displacement of the distal clips while manipulating the lobe and preventing the clip from getting in the middle of the stapler line when dividing the fissure. Sealing the vessel at a distal end adds more safety to prevent the proximal stump from bleeding in case of a displaced clip

Diego Gonzalez Rivas, MD, FECTS

tags: uniportal vats Polymer Clips


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