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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: A successful surgical repair of intraoperative pneumothorax and the diffuse dissection of visceral pleura during liver transplantation surgery via trans-diaphragmatic approach

Fig. 3

Surgical procedure. a Surgical view through the reverse-T incision. A small incision was made in the right diaphragm (Arrow). An 11.5-mm port was inserted in the right tenth intercostal space (Red circle). b, c The visceral pleura of the bottom of right lower lobe was widely dissected from lung parenchyma and presented like a giant cyst. d, e The dissected pleura was opened, and fibrin sealant patches were put on the lung parenchyma under the cyst. f Polyglycolic acid (PGA) sheets were also applied on the surface of the visceral pleura after closing the air leakage

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