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Dividing tissue will free up the lower lobe and help pull it away to maximize length

Clips should be placed as close to the diaphragm as possible while maximizing vessel length

Using more of the instrument tip allows better visualization of the vessel itself

Standard technique is to measure 10 centimeters up from the pylorus using 10 centimeter silk

The G-tube location typically corresponds to approximately 10 centimeters from the pylorus

After placing a suture loop, grasping the peritoneum with Maryland forceps and pulling up on the loop can reposition the suture

The differential diagnosis for the cystic lesion includes whether it represents two elements or a bronchogenic cyst

A superior segment resection is feasible based on the anatomical findings

Unroofing the top of the cyst and carrying the dissection back allows visualization of how it separates from upper lobe vessels

The superior segment artery is expected to be located within the dissection plane near the cyst

Lymph nodes in the area need to be removed to facilitate the dissection

After taking the artery, a dissection plane will become apparent

Vessel control can be achieved with either an endo-loop or clips