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Toracoscopia diagnostică - indicaţii şi limite - Universitatea de ...

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Fig. 17 – Sec\ionarea pun\ii <strong>de</strong> parenchim dup` ligatura cu nod extracorporeal<br />

Aspect toracoscopic dup` realizarea primei linii <strong>de</strong> staplare (fig. 18 – linia<br />

neagr`). Pentru mai mult` siguran\` se <strong>de</strong>ci<strong>de</strong> realizarea unei a doua linii <strong>de</strong><br />

staplare sub nivelul ligaturii efectuate pentru rezec\ia bulei voluminoase (fig.18 –<br />

linia albastr`).<br />

Bont <strong>de</strong> rezectie<br />

Ligatura<br />

A doua linie <strong>de</strong> staplare<br />

Prima linie <strong>de</strong> staplare<br />

Fig. 18 - Aspect dup` realizarea primei linii <strong>de</strong> staplare (linia neagr`);<br />

se <strong>de</strong>ci<strong>de</strong> o a doua linie <strong>de</strong> staplare (albastr`).<br />

Aspectul final dup` rezec\iile succesive ]i realizarea celor dou` linii <strong>de</strong><br />

sutur` mecanic` este redat [n figura 19.<br />

A doua linie <strong>de</strong> staplare<br />

Prima linie <strong>de</strong> staplare<br />

Fig. 19 - Aspect dup` realizarea ambelor linii <strong>de</strong> staplare<br />

14

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