Mizukami Yasushi, Maki Ryunosuke, Adachi Hirofumi
Department of Thoracic Surgery, National Hospital Organization, Hokkaido Cancer Center, Sapporo-shi, Hokkaido, Japan.
J Surg Case Rep. 2021 Oct 31;2021(10):rjab465. doi: 10.1093/jscr/rjab465. eCollection 2021 Oct.
In conventional multiportal video-assisted thoracoscopic surgery, devices such as cotton-tipped applicators are used instead of graspers to avoid injuring the fragile lung tissue while stabilizing the lung and securing the surgical visual field. However, in uniportal video-assisted thoracoscopic surgery, which requires the simultaneous use of multiple instruments, the instruments tend to interfere with each other during the procedure because they share a single incisional port. Here, we describe a simple, easy and cost-effective lung retraction technique using cotton swabs to solve the problem. We present this technique and comment on its advantages, including decreased cost and improved surgical visualization.
在传统的多端口电视辅助胸腔镜手术中，使用棉棒等器械代替抓钳，以避免在稳定肺组织和确保手术视野时损伤脆弱的肺组织。然而，在单端口电视辅助胸腔镜手术中，由于需要同时使用多种器械，且这些器械共用一个切口端口，在手术过程中器械容易相互干扰。在此，我们描述一种使用棉签的简单、易行且经济高效的肺组织牵拉技术来解决这一问题。我们介绍该技术并阐述其优点，包括降低成本和改善手术视野。
