ISMICS - A Systematic Approach To Deal With Pulmonary Artery (pa) Or Pulmonary Vein (pv) Bleeding In Vats Anatomic Lung Resections

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A Systematic Approach To Deal With Pulmonary Artery (pa) Or Pulmonary Vein (pv) Bleeding In Vats Anatomic Lung Resections
Dominik Lobinger, Andreas Hiebinger, Johannes Bodner.
Munic Clinic Bogenhausen, Department of Thoracic Surgery, Munich, Germany.

BACKGROUND: Pulmonary artery (PA) or pulmonary vein (PV) bleeding is a critical challenge in video-assisted thoracoscopic surgery (VATS) for anatomical lung resections. This presentation demonstrates a systematic approach to the management of such bleeding to improve patient safety and surgical outcomes.
METHODS: The presentation introduces key steps based on a synthesis of clinical experience and evidence-based practices, including preoperative planning, intraoperative strategies and emergency protocols. Real-life operative footage is used to illustrate the various techniques. Emergency planning, including criteria for conversion to thoracotomy, is also highlighted.
RESULTS: This systematic approach aims to minimise intraoperative bleeding-related complications in clinical practice. Critical techniques to maintain control in PA or PV bleeding are presented with a step-by-step guide.
CONCLUSIONS: This presentation serves as an educational resource for thoracic surgeons providing a structured methodology for the management of PA and PV bleeding during VATS. By applying these strategies, surgeons can minimise risk, optimise intraoperative management and improve patient outcomes during minimally invasive lung resections.

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