Uniportal VATS Lobectomy Middle Lobe

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  1. Uniportal VATS right

    Uniportal VATS right

    Incision of approximately 4 cm in length in the area of the anterior axillary line at the upper edge of the 5th rib to access the 4th intercostal space above. A helpful orientation is often an imaginary line from the tip of the scapula to the nipple. Transection of the subcutis on the rib with the monopolar knife. Subsequently, stepwise preparation of the intercostal muscles with the monopolar knife. The pleura is opened bluntly with a finger. Palpation of the thoracic wall for adhesions and insertion of a wound protection film.

  2. Preparation of the lobar fissure with visualization of the pulmonary artery

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    Preparation of the lobar fissure with visualization of the pulmonary artery
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    With a well-developed fissure, dissection can begin in the interlobar region. Here, superficial layers of the visceral pleura are dissected, and the pulmonary artery in the interlobar region is exposed primarily through blunt dissection.

Dissection of the interlobium

After visualizing the pulmonary artery, the parenchymal bridges can be gradually dissected. It is e

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