title: Right-Side Paratracheal Lymph Node Dissection during Single-Incision Thoracoscopic Surgery Featuring Placement of a Bidirectional Retraction Suture.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
authors.forename: Jong Myung
authors.initials: JM
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
authors.forename: Do Hyung
authors.initials: DH
authors.lastname: Kim
mesh_terms: D001401:Azygos Vein; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision / Q000295:instrumentation / Q000379:methods*; D008207:Lymphatic Metastasis; D011013:Pneumonectomy / Q000295:instrumentation / Q000379:methods*; D013525:Surgical Instruments; D013536:Suture Techniques; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation / Q000379:methods*; D014143:Traction; D016896:Treatment Outcome