Incision of approximately 4 cm in length in the area of the anterior axillary line at the upper edge of the 5th rib to access the overlying 4th intercostal space. As a guide, an imaginary line from the tip of the scapula to the nipple is often helpful here. Transection of the subcutis on the rib with the monopolar knife. Subsequently, stepwise preparation of the intercostal muscles with the monopolar knife. The pleura is opened bluntly with a finger. Palpation of the thoracic wall for adhesions and insertion of a wound protection film.
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Access uniportal VATS right
![Access uniportal VATS right]()
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Exploration of the Thorax
Initially, the exploration of the thorax is performed for macroscopically suspicious lesions and adhesions.
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Preparation of the mediastinal pleura below the azygos vein
![Preparation of the mediastinal pleura below the azygos vein]()
Soundsettings The mediastinal pleura is sharply incised between the azygos vein and the anterior trunk of the pulmonary artery.
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Preparation of the mediastinal pleura above the azygos vein
En-bloc resection of the fatty lymph node package 2R + 4R
Now the lymph nodes can be removed as a package between the anterior trunk, the trachea, the perica
Now the lymph nodes can be removed as a package between the anterior trunk, the trachea, the perica
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