Uniportal VATS mediastinal lymphadenectomy 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 overlying 4th intercostal space. As a guide, an imaginary line from the tip of the scapula to the nipple is often helpful here. 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.