Abstract
The fear of pulmonary artery (PA) injury influences every surgeon that performs anatomic pulmonary resection. It impacts trainee autonomy and the adoption of learning curves for both video-assisted thoracoscopic surgery and robotic surgery. In this issue of The Annals of Thoracic Surgery, the study by Takeda and colleagues1 provides a thoughtful analysis of how to predict potentially complicated pulmonary resections associated with PA-adherent lymph nodes (LNs). Bronchoscopic identification of dark mucosal pigmentation as well as nodal enlargement by computed tomography helped to predict patients that were found to have PA-adherent nodes intraoperatively.
Published Version
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