In single-incision thoracoscopic surgery (SITS), multiple instruments are inserted
through a single working window and at least three hands must move within the limited
operative field. When lobectomy is required, SITS has not been preferred for right-side
paratracheal lymph node dissection because of instrument collisions. We used our bidirectional
traction suture technique to eliminate the need for an azygos vein retractor during
dissection, and thereby overcame the instrument collision problem.
Keywords
single-incision thoracoscopic surgery - VATS - lung cancer - node dissection