Small Single-Incision Thoracoscopic Surgery Using an Anchoring Suture in Patients With Primary Spontaneous Pneumothorax: A Safe and Feasible Procedure

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Small Single-Incision Thoracoscopic Surgery Using an Anchoring Suture in Patients With Primary Spontaneous Pneumothorax: A Safe and Feasible Procedure Bong Soo Son, MD, Do Hyung Kim, MD, Sang Kwon Lee, MD, Chang Wan Kim, MD The Annals of Thoracic Surgery Volume 100, Issue 4, Pages 1224-1229 (October 2015) DOI: 10.1016/j.athoracsur.2015.04.095 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Operative technique. (A) The thread for the anchoring suture was passed through the intercostal space. Anchoring sutures were next placed in front of the bleb, and the needle pulled out through the incision site. (B) The resection lesion was lifted by pulling the thread on the side of the chest wall to create an angle enabling a stapler to excise the lesion. An endostapler (Ethicon, Cincinnati, OH) was employed. (C) The maximal possible resection was achieved by pushing the stapler because the lesion was advanced to the center of the chest cavity by pulling the thread on the side of the incision. (D) Neoveil (polyglycolic acid) was used in combination with fibrin glue to reinforce the stapling line. The Annals of Thoracic Surgery 2015 100, 1224-1229DOI: (10.1016/j.athoracsur.2015.04.095) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The postoperative wound. The Annals of Thoracic Surgery 2015 100, 1224-1229DOI: (10.1016/j.athoracsur.2015.04.095) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions