1. Single-Incision Thoracoscopic Surgery Using an Anchoring Suture of the Lung Parenchyma for Two-Directional Traction 
Sang Kwon Lee, MD, Bong Soo Son, MD, Hyo Young Ahn, MD, Do Hyung Kim, MD 
The Annals of Thoracic Surgery 
Volume 97, Issue 3, Pages e89-e91 (March 2014)
DOI: /j.athoracsur
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
(A) For anchoring, sutures were passed through the incision, from the outside of the chest wall to the inside of the chest cavity. (B) Anchoring sutures were placed on the front of the resection lesion.
The Annals of Thoracic Surgery  , e89-e91DOI: ( /j.athoracsur )
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
(A) The target lesion is located at the bottom in conditions of lung collapse, which makes stapling impossible. (B) In such cases, the target lesion is lifted to create a resection angle, thus enabling stapling. (C) After the first stapling, the resection site is present in a more distal location, and because of the stapler length and its close proximity to the chest wall, a second stapling is difficult. Thoracoscopic findings after the first stapling. (D) The lesion is moved to the center of the chest cavity by pulling the thread, thus making the second stapling easier to perform. Thoracoscopic findings during the second stapling.
The Annals of Thoracic Surgery  , e89-e91DOI: ( /j.athoracsur )
Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions