Lung wedge resection and lobectomy: Difference between revisions
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*'''Palpate''' for any tumors. | *'''Palpate''' for any tumors. | ||
*[[Ink]] the '''surgical margin''' and cut it away just below any sutures or staples. If the margin is substantially stapled (and their removal would be either too tissue-damaging or otherwise inconvenient), ink and use another section of the tissue underneath it for frozen sectioning. | *[[Ink]] the '''surgical margin''' and cut it away just below any sutures or staples. If the margin is substantially stapled (and their removal would be either too tissue-damaging or otherwise inconvenient), ink and use another section of the tissue underneath it for frozen sectioning. | ||
:*In '''intraoperative consultations''' use a section that is presumably closest to a tumor for [[frozen sectioning]], with the tissue [[enface]], for radicality. This is generally enough to report to the surgeon, unless otherwise requested. | :*In '''intraoperative consultations''' use a section that is presumably closest to a tumor for [[frozen sectioning]], with the tissue [[enface]], for radicality. This is generally enough to report intraoperatively to the surgeon, unless otherwise requested. | ||
*{{Comprehensive-begin}}Sample the entire surgical margin for standard processing.{{Comprehensive-end}} | *{{Comprehensive-begin}}Sample the entire surgical margin for standard processing.{{Comprehensive-end}} | ||
*Cut open the '''bronchi''' of the specimen with a pair of scissors, as far as they can fit within the lumina. Attempt to cut so as to be able to take a section that includes both any tumor and nearest bronchus. Describe the cut surface, including color and consistency, and any focal lesions. | *Cut open the '''bronchi''' of the specimen with a pair of scissors, as far as they can fit within the lumina. Attempt to cut so as to be able to take a section that includes both any tumor and nearest bronchus. Describe the cut surface, including color and consistency, and any focal lesions. | ||