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. 2014 Aug;6(8):1150–1158. doi: 10.3978/j.issn.2072-1439.2014.05.11

Figure 4.

Figure 4

Left pneumonectomy. Bilateral pneumonectomies are performed. This video demonstrates highlights from the left pneumonectomy. Adhesions along the pleural surface and mediastinum are taken down with the electrocautery. The inferior pulmonary ligament is divided with the electrocautery and this is further used to go through the pulmonary veins and arteries, rather than taking the time to ligate these vessels; the veins are already open into the pericardium and the only flow into the arteries is via aortopulmonary collateral circulation. The bronchus is dissected free. A stapling device is then applied to the bronchus and it is divided distally. The lung should be able to be removed at this point. A similar procedure is performed for the right lung (10).