Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection Bing-Yen Wang, MD, Cheng-Che Tu, MD, Chao-Yu Liu, MD, Chih-Shiun.

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Presentation transcript:

Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection Bing-Yen Wang, MD, Cheng-Che Tu, MD, Chao-Yu Liu, MD, Chih-Shiun Shih, MD, Chia-Chuan Liu, MD The Annals of Thoracic Surgery Volume 96, Issue 3, Pages 977-982 (September 2013) DOI: 10.1016/j.athoracsur.2013.05.002 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A 4-cm incision was made over the anterior axillary line, over the sixth intercostal space. A 10-mm, 30-degree thoracoscopic camera was placed at the posterior side of the incision principally, and other working instruments were placed at the anterior side. (B) The association between the endostapler and other instruments in the wound protector. (C) The bronchus was resected at the last stage of lobectomy by endostapler. (D) The chest tube was placed at the edge of a single incision. The Annals of Thoracic Surgery 2013 96, 977-982DOI: (10.1016/j.athoracsur.2013.05.002) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) A nylon tape was placed through the plane between the left main bronchus and the inferior pulmonary vein, and the left lower lobe was retracted anteriorly. (B) The nylon tape was fixed at the wound protector to keep traction force. (C) A vessel loop on the azygous vein exposes the right paratracheal area. (D) A STAT silk suture was placed at the pleura to expose the subcarinal area. The Annals of Thoracic Surgery 2013 96, 977-982DOI: (10.1016/j.athoracsur.2013.05.002) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions