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Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice  Gaetano Rocco, MD, FRCS(Ed), FETCS  Operative.

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Presentation on theme: "Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice  Gaetano Rocco, MD, FRCS(Ed), FETCS  Operative."— Presentation transcript:

1 Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice  Gaetano Rocco, MD, FRCS(Ed), FETCS  Operative Techniques in Thoracic and Cardiovascular Surgery  Volume 14, Issue 4, Pages (December 2009) DOI: /j.optechstcvs Copyright © 2009 Elsevier Inc. Terms and Conditions

2 Figure 1 Patient's positioning for uniportal VATS.
Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

3 Figure 2 Distribution of the members of the surgical team during uniportal VATS (see text). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

4 Figure 3 (A) Typical incision measuring cm, usually accommodating 1 surgeon's fingerbreadth (B). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

5 Figure 4 Initial positioning of instrumentation for uniportal VATS wedge resection of the lung. Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

6 Figure 5 Intraoperative view of sequence leading to uniportal VATS apical bleb resection with initial instrument positioning (A) and subsequent completion of parenchymal stapling (B). (C) Schematic of pleurodesis obtained with pleural abrasion through a scratchpad mounted on an articulating endograsper (see text). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

7 Figure 6 (A) Example of positioning of the videothoracoscope relative to target nodule in the lung (see text). Details on the use of articulating grasping (B) and stapling (C) instrumentation for uniportal VATS wedge resection (D) and subsequent extraction of the specimen with an endobag (E). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

8 Figure 6 (A) Example of positioning of the videothoracoscope relative to target nodule in the lung (see text). Details on the use of articulating grasping (B) and stapling (C) instrumentation for uniportal VATS wedge resection (D) and subsequent extraction of the specimen with an endobag (E). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions

9 Figure 7 Details of uniportal VATS right sympathectomy begun over the second rib (A) and completed over the third rib (B). Operative Techniques in Thoracic and Cardiovascular Surgery  , DOI: ( /j.optechstcvs ) Copyright © 2009 Elsevier Inc. Terms and Conditions


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