Thorac Cardiovasc Surg 2017; 65(02): 161-164
DOI: 10.1055/s-0035-1571192
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Right-Side Paratracheal Lymph Node Dissection during Single-Incision Thoracoscopic Surgery Featuring Placement of a Bidirectional Retraction Suture

Jong Myung Park
1   Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea
,
Do Hyung Kim
1   Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea
› Author Affiliations
Further Information

Publication History

04 August 2015

01 December 2015

Publication Date:
22 January 2016 (online)

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Abstract

In single-incision thoracoscopic surgery (SITS), multiple instruments are inserted through a single working window and at least three hands must move within the limited operative field. When lobectomy is required, SITS has not been preferred for right-side paratracheal lymph node dissection because of instrument collisions. We used our bidirectional traction suture technique to eliminate the need for an azygos vein retractor during dissection, and thereby overcame the instrument collision problem.