herrera4
Guru
so im not sure where I would even go with this op note -im going towards 19260 but it still doesn't fit any help is appreciated
Operative Note
Patient 65-year-old woman admitted for left upper lobe resection. The lesion was consistent with a carcinoid tumor, and plans are made for robotic resection. Survey of the chest. After placement of the robotic camera documented a 2.5 cm lesion anteriorly on the chest wall area. Frozen section was consistent with atypical carcinoid, with invasion of 2 ribs. The lesion was was resected, the resection site was marked with clips . Random pleural biopsies were obtained. The lobectomy was not performed. Based on these findings.
Patient was brought operating room, placed supine position, following this general seizure via double-lumen endotracheal tube. She was placed in the right lateral decubitus position. She was then prepped and draped using ChloraPrep. Port sites were marked out in standard ports were placed for robotic resection. Rib blocks were executed under direct visualization. Survey of the chest was carried out. There was a complete fissure. Unfortunately, anteriorly and overlying the approximately fourth and fifth rib to be a 2 cm implant. Further dissection with cyst with atypical carcinoid port. Was excised using cautery hook placed in a bag excised. Bed was followed with cautery and there was observation of the rib at this point. The margins of the resection were then marked with clips. Random pleural biopsies were obtained using the biopsy forceps. Final irrigation was carried out, a 28 French chest tube was placed and secured with silk sutures. The wounds were closed with Vicryl. followed by skin glue. Chest tube was attached to Pleur-evac and the patient was brought back to recovery in stable condition
thank you!!!
Operative Note
Patient 65-year-old woman admitted for left upper lobe resection. The lesion was consistent with a carcinoid tumor, and plans are made for robotic resection. Survey of the chest. After placement of the robotic camera documented a 2.5 cm lesion anteriorly on the chest wall area. Frozen section was consistent with atypical carcinoid, with invasion of 2 ribs. The lesion was was resected, the resection site was marked with clips . Random pleural biopsies were obtained. The lobectomy was not performed. Based on these findings.
Patient was brought operating room, placed supine position, following this general seizure via double-lumen endotracheal tube. She was placed in the right lateral decubitus position. She was then prepped and draped using ChloraPrep. Port sites were marked out in standard ports were placed for robotic resection. Rib blocks were executed under direct visualization. Survey of the chest was carried out. There was a complete fissure. Unfortunately, anteriorly and overlying the approximately fourth and fifth rib to be a 2 cm implant. Further dissection with cyst with atypical carcinoid port. Was excised using cautery hook placed in a bag excised. Bed was followed with cautery and there was observation of the rib at this point. The margins of the resection were then marked with clips. Random pleural biopsies were obtained using the biopsy forceps. Final irrigation was carried out, a 28 French chest tube was placed and secured with silk sutures. The wounds were closed with Vicryl. followed by skin glue. Chest tube was attached to Pleur-evac and the patient was brought back to recovery in stable condition
thank you!!!