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.
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Access uniportal VATS right
![Access uniportal VATS right]()
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Exploration of the thorax and preparation of the pulmonary artery in the lobar fissure
![Exploration of the thorax and preparation of the pulmonary artery in the lobar fissure]()
Soundsettings Initially, the exploration of the thorax is performed for macroscopically suspicious lesions and adhesions. Subsequently, the preparation begins at the interlobium. Due to the well-developed fissure, the interlobar part of the pulmonary artery with the underlying bronchial system is clearly visible after incision of the visceral pleura. Then, the lymph nodes of station 11 (according to IALSC) are removed.
Preparation of the pulmonary ligament and visualization of the inferior pulmonary vein
After displaying the pulmonary artery, the pulmonary ligament is now prepared. Simultaneously, the
After displaying the pulmonary artery, the pulmonary ligament is now prepared. Simultaneously, the
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