4.6 Editorial Material

Modified Incision and Closure Techniques for Single-Incision Thoracoscopic Lobectomy

Journal

ANNALS OF THORACIC SURGERY
Volume 99, Issue 1, Pages 349-351

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2014.07.062

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Funding

  1. Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital

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Single-incision video-assisted thoracoscopic surgery (VATS) lobectomy has recently gained attention due to its various advantages. However, this technique requires direct insertion of the chest tube into the thoracic cage; thus, leakage of intrathoracic fluid or air around the tube frequently occurs. Additionally, cosmetic problems may develop due to direct fixation of the chest tube at the site of the skin incision. To solve these problems we designed new incision and closure techniques for VATS lobectomy. In our technique the skin is incised lower than an intercostal muscle incision, and the chest tube transpierces the chest wall muscle about 1 cm below the incision. Finally, nylon is used for tube fixation and is anchored through the subcutaneous suture. (C) 2015 by The Society of Thoracic Surgeons

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