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SENILLA And if we take into account that in many schools in Ukraine, oddly enough, the “Russian” language is studied as a foreign language, then how can children live in schools where Russian is their native language – and as a result, the child does not understand even half of the words that the teacher says in the lesson – and this is – during the teaching of the Russian language.
If I were such children, I would be very dissatisfied – and rightly so!
And – do not blame them for not liking the Ukrainian language.
No need!
It’s not that they’re bad!
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This result is sorted by date and posted first. You can remove all items from a list by clicking the : icons next to the list entries. of the intraoperative air leak after the minimally invasive approach was higher compared with the 3D-printed LAVPLA, and there are several reasons for this result. The first reason is the size of the main orifice of the 12-mm IMA. After identification of the site of the main orifice of the IMA, it was necessary to fill the lung with saline until no bubbles appeared in the pleural cavity to prevent air leakage at the orifice. Therefore, the relatively large size of the main orifice of the IMA limited the number of times we could perform this technique. A second reason for the difference in the prevalence of intraoperative air leak after the 2 strategies is the placement of the 12-mm IMA. The IMA is placed at the level of the anterior bronchial tree at the carina, avoiding the injury of the distal branches of the right bronchus \[[@b7-anntransplant-23-179]\]. In the approach of the 12-mm IMA by using the TLC technique, the position of the IMA did not affect the surgical field, and the IMA was directly sutured to the LAVPLA. In the TAP technique, in contrast, the IMA was rotated several degrees to avoid the distal orifice of the IMA. The third reason is that the percentage of 30% to 40% airway compression by the lung and 11% blood volume of the lung and patient-specific morphologic characteristic of the TLC could be a reason for the difference of the prevalence of air leakage after the two strategies \[[@b14-anntransplant-23-179],[@b15-anntransplant-23-179]\]. The final and fourth reason is that the technique of suturing the IMA did not improve the stability of the IMA during the procedure because the width of the IMA was greater than the LAVPLA ([Figure 2](#f2-anntransplant-23-179){ref-type=”fig”}).
Conclusions
===========
In conclusion, the TLC technique is a more effective technique for suture of a 12-mm IMA in lung transplantation, because it provides better intraoperative stability of the IMA and also reduces air leakage.
**Source
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