Video Assisted Thoracoscopic Approach Access

Positioning in a right lateral position as for left posterolateral thoracotomy.

The left lung is deflated using a double lumen endotracheal tube. Ports are inserted as follows:

■ 10 mm at the 6th intercostal space posterior axillary line for the camera

■ 10 mm at the 5th intercostal space at the anterior border of the axillary line for retraction of the lung

■ 10mm at the 3rd intercostal space for working cannula

■ 12 mm at the mid-axillary line for working cannula The procedure is as for the open procedure.


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