title: Closed chest lobectomy with subxyphoid retraction.
abstract: An important disadvantage of the video-assisted thoracoscopic surgery (VATS) lobectomy technique remains the minithoracotomy for specimen removal resulting in some degree of traction on the ribs even without the usage of a rib retractor. We describe a new technique of VATS lobectomy in supine position consisting of complete lymph node dissection and subxyphoidal removal of the lobe(s) preventing any degree of rib traction.
authors.affiliation: Department of Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein,  The Netherlands.
authors.forename: Alaaddin
authors.initials: A
authors.lastname: Yilmaz
authors.forename: Bart Pieter
authors.initials: BP
authors.lastname: Van Putte
authors.forename: Wim-Jan
authors.initials: WJ
authors.lastname: Van Boven
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008171:Lung Diseases / Q000601:surgery*; D008197:Lymph Node Excision; D008875:Middle Aged; D009426:Netherlands; D056888:Patient Positioning; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D016683:Supine Position; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D014143:Traction / Q000009:adverse effects; D016896:Treatment Outcome