Uniportal VATS Segment-3 resection right with ICG

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. 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 fingers. Palpation of the thoracic wall for adhesions and insertion of a wound protection film.

First, the exploration of the situs and palpation of the lung is performed. If the nodule described in the imaging can be reliably palpated and no further findings (such as pleural carcinomatosis) are observed, marking the tumor with a suture or sterile pen during the subsequent parenchymal resection is very helpful to ensure an adequate safety margin.