Uniportal VATS segment resection S7 & S8 right with ICG

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  1. Access uniportal VATS right

    Access 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 interlobium

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    Preparation of the interlobium
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    First, the operation begins with the exposure of the interlobar part of the pulmonary artery. For this, the parenchymal bridge between the upper and middle lobes is prepared using an ultrasonic scalpel. A large lymph node from station 11 is retrieved in the process.

     

    Tip: In anatomical resection, the sequence of surgical steps can vary depending on the intraoperative situation.

Dissection of the segmental artery A8

The circular presentation of the pars interlobaris of the pulmonary artery is performed. The depict

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