[Surgical anatomy in lung resections].

Abstract

When thoracic/lung surgery is performed autodidactically, intraoperative catastrophes and complications are to be expected. Atypical partial resections must be distinguished from typical resections of anatomical parechyma units (standard operations). More extensive operations which involve additional lung structures (lung lobes, trachea, bronchi) or attached organs (chest wall, heart, diaphragm etc.) are technically demanding. The larger the anatomical unit, the closer to the heart all vessels have to be arranged and, not seldom this means intrapericardially with clamping of the left atrium. All structures of the hilus are suitable for closing with staplers or suture. In the case of pneumonectomies, central lung structures can be cut most easily by cutting ligaments (Lig. anterior superius, Lig. pulmonale inferius). Pictures and photographs demonstrate specialties of topography of bilateral central lung structures in the context of extended resections.