VATS lung resection 1

The video shows the basic steps of a "fissureless dissection" for a left upper lobectomy. It demonstrates dissection and division of the left upper lobe pulmonary vein followed by the pulmonary artery branches. One of the smaller pulmonary artery branches is ligated with a noncutting Endo TA stapler proximally and a bipolar energy device distally. After bronchial division and dissection of lymph nodes, the fissure between the upper and lower lobes is the last tissue to be divided. The left upper lobe is placed into an endosac and removed.