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Dr. Steve Rothenberg

Pediatric Surgery · View profile →

Mentoring+Technology+Progression-HD

Video Published 2026-05-05

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Topic Overview

Real-time intraoperative mentoring session demonstrating thoracoscopic lobectomy technique with emphasis on vessel dissection, port placement strategy, and anatomical plane identification. Captures collaborative surgical decision-making and teaching points for safe hilar dissection and superior segment management.

Key Takeaways

  • Precise vessel clipping near the diaphragm maximizes vessel length while maintaining safe margins during thoracoscopic dissection.
  • Port placement strategy: stimulator plus two 5mm ports optimally positioned for access during pediatric thoracoscopic procedures.
  • Unroofing bronchogenic cysts along tissue planes reveals superior segmental artery anatomy and facilitates safe vessel isolation.
  • Endoloop or clip application before vessel division prevents bleeding and simplifies dissection in confined thoracoscopic spaces.
  • Real-time mentoring with visual guidance (circles, markers) improves trainee precision in identifying anatomical planes intraoperatively.

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