Thorac cardiovasc Surg 2014; 62(06): 525-527
DOI: 10.1055/s-0033-1358781
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

A Specific Instrument to Facilitate Thoracoscopic Ligation

Bo Wei
1  Department of Thoracic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, People's Republic of China
,
Fusheng Jiang
1  Department of Thoracic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, People's Republic of China
,
Jinshu Yin
2  Department of Otolaryngology Head and Neck Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, People's Republic of China
› Author Affiliations
Further Information

Publication History

24 July 2013

17 September 2013

Publication Date:
02 December 2013 (eFirst)

Abstract

The rigid wall of the thoracic cavity provides an ideal cavity for minimally invasive surgery without the need for the cumbersome CO2 insufflation that is essential to perform laparoscopic surgery. And by that, the novel ligation technique facilitating minithoracotomy, which we published before, is possible to be transferred to the video-assisted thoracoscopic surgery (VATS). We attempt to modify the structure of the conventional right angle forceps and its usage so as to accommodate VATS. The unique shape of this instrument facilitates its passage through a trocar or a true VATS intercostal access instead of a rib spreading minithoracotomy. Its clinical performance renders that it a cheaper and better alternative to commercially available products. This new device has the potential to make a substantial contribution to the manual ligation practice of VATS.