STEP 1Positioning and exposure

A double-lumen tube for single lung ventilation is placed by the anesthetist with great care, as the quality of single lung ventilation is crucial for the procedure.

The patient is brought into a left-sided position as for a conventional posterolateral thoracotomy.

Special short and oval trocars for thoracoscopy reduce the danger of intercostal artery bleeding and increase the degree of freedom of instrument handling. The trocar position should be adjusted according to tumor localization, and lung retractors are needed for exposure.

Position of the patient and of the trocars is shown in a patient with esophageal carcinoma adjacent to the tracheal bifurcation.

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How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

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