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Single-Port Mediastinoscopic Lymphadenectomy Along the Left Recurrent Laryngeal Nerve  Hitoshi Fujiwara, MD, Atsushi Shiozaki, MD, Hirotaka Konishi, MD,

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Presentation on theme: "Single-Port Mediastinoscopic Lymphadenectomy Along the Left Recurrent Laryngeal Nerve  Hitoshi Fujiwara, MD, Atsushi Shiozaki, MD, Hirotaka Konishi, MD,"— Presentation transcript:

1 Single-Port Mediastinoscopic Lymphadenectomy Along the Left Recurrent Laryngeal Nerve 
Hitoshi Fujiwara, MD, Atsushi Shiozaki, MD, Hirotaka Konishi, MD, Toshiyuki Kosuga, MD, Shuhei Komatsu, MD, Daisuke Ichikawa, MD, Kazuma Okamoto, MD, Eigo Otsuji, MD  The Annals of Thoracic Surgery  Volume 100, Issue 3, Pages (September 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Position of the operator and assistants. The operator stands above the patient’s head with the assistant on the left side. The scopist stands between the operator and assistant. A shoulder roll is not used. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Placement of single-port devices on the cervical wound. (A) The Lap-Protector, a ring device for protecting wounds, was inserted into the cervical wound; the EZ Access, a silicon rubber cap, was then attached to the Lap-Protector. Arrowhead indicates the left recurrent laryngeal nerve marked with tape. (B) Three 5-mm trocars were inserted. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Intraoperative view: (A) lymph node tissues (*) along the left recurrent laryngeal nerve (RLN) were separated from the aortic arch and tracheal wall; (B) esophageal mobilization over the azygos vein arch; (C) after completion of esophageal mobilization; and (D) after completion of lymphadenectomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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