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Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation

Purpose There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a pa...

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Main Authors: Dydykin, Sergey, Paulsen, Friedrich, Khorobykh, Tatyana, Mishchenko, Natalya, Kapitonova, Marina, Gupalo, Sergey, Bogoyavlenskaya, Tatyana, Agadzhanov, Vadim, Salikhov, Pashad
Format: Article
Language:English
Published: Springer-Verlag Italia s.r.l. 2022
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/38414/1/Mediastinal%20anatomical%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/38414/
https://pubmed.ncbi.nlm.nih.gov/34426859/
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spelling my.unimas.ir.384142022-04-25T07:00:51Z http://ir.unimas.my/id/eprint/38414/ Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation Dydykin, Sergey Paulsen, Friedrich Khorobykh, Tatyana Mishchenko, Natalya Kapitonova, Marina Gupalo, Sergey Bogoyavlenskaya, Tatyana Agadzhanov, Vadim Salikhov, Pashad R Medicine (General) Purpose There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a patient. Our aim was to develop an algorithm of sequential visual navigation during thoracoscopic extirpation of the esophagus and determine the most permanent topographic and anatomical landmarks allowing safe thoracoscopic dissection of the esophagus in the prone position. Methods The anatomical study of the mediastinal structural features was carried out on 30 human cadavers before and after opening the right pleural cavity. Results For thoracoscopic extirpation of the esophagus in the prone position, anatomical landmarks are defned, their variants are assessed, and an algorithm for their selection is developed, allowing their direct visualization before and after opening the mediastinal pleura. Conclusion The proposed algorithm for topographic and anatomical navigation based on the key anatomical landmarks in the posterior mediastinum provides safe performance of the video-assisted thoracoscopic extirpation of the esophagus in the prone position. Springer-Verlag Italia s.r.l. 2022 Article PeerReviewed text en http://ir.unimas.my/id/eprint/38414/1/Mediastinal%20anatomical%20-%20Copy.pdf Dydykin, Sergey and Paulsen, Friedrich and Khorobykh, Tatyana and Mishchenko, Natalya and Kapitonova, Marina and Gupalo, Sergey and Bogoyavlenskaya, Tatyana and Agadzhanov, Vadim and Salikhov, Pashad (2022) Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation. Surgical and Radiologic Anatomy, 44 (1). pp. 117-127. ISSN 0930-1038 https://pubmed.ncbi.nlm.nih.gov/34426859/ DOI 10.1007/s00276-021-02820-8
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Dydykin, Sergey
Paulsen, Friedrich
Khorobykh, Tatyana
Mishchenko, Natalya
Kapitonova, Marina
Gupalo, Sergey
Bogoyavlenskaya, Tatyana
Agadzhanov, Vadim
Salikhov, Pashad
Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
description Purpose There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a patient. Our aim was to develop an algorithm of sequential visual navigation during thoracoscopic extirpation of the esophagus and determine the most permanent topographic and anatomical landmarks allowing safe thoracoscopic dissection of the esophagus in the prone position. Methods The anatomical study of the mediastinal structural features was carried out on 30 human cadavers before and after opening the right pleural cavity. Results For thoracoscopic extirpation of the esophagus in the prone position, anatomical landmarks are defned, their variants are assessed, and an algorithm for their selection is developed, allowing their direct visualization before and after opening the mediastinal pleura. Conclusion The proposed algorithm for topographic and anatomical navigation based on the key anatomical landmarks in the posterior mediastinum provides safe performance of the video-assisted thoracoscopic extirpation of the esophagus in the prone position.
format Article
author Dydykin, Sergey
Paulsen, Friedrich
Khorobykh, Tatyana
Mishchenko, Natalya
Kapitonova, Marina
Gupalo, Sergey
Bogoyavlenskaya, Tatyana
Agadzhanov, Vadim
Salikhov, Pashad
author_facet Dydykin, Sergey
Paulsen, Friedrich
Khorobykh, Tatyana
Mishchenko, Natalya
Kapitonova, Marina
Gupalo, Sergey
Bogoyavlenskaya, Tatyana
Agadzhanov, Vadim
Salikhov, Pashad
author_sort Dydykin, Sergey
title Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
title_short Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
title_full Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
title_fullStr Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
title_full_unstemmed Mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
title_sort mediastinal anatomical landmarks, their variants and tips for video‑assisted thoracoscopic navigation during oesophageal extirpation
publisher Springer-Verlag Italia s.r.l.
publishDate 2022
url http://ir.unimas.my/id/eprint/38414/1/Mediastinal%20anatomical%20-%20Copy.pdf
http://ir.unimas.my/id/eprint/38414/
https://pubmed.ncbi.nlm.nih.gov/34426859/
_version_ 1731229854021451776
score 13.211869

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