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J Thorac Cardiovasc Surg 2005;129:1454-1455
© 2005 The American Association for Thoracic Surgery

Brief Communication

Triangular retractor facilitates minimally invasive lobectomy

Todd L. Demmy, MD*, Chukwumere E. Nwogu, MD, Marc S. Sussman, MD

Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY.

Received for publication January 4, 2005; accepted for publication February 8, 2005.

* Address for reprints: Todd L. Demmy, MD, Roswell Park Cancer Institute, Elm & Carlton Sts, Buffalo, NY 14263 (Email: Todd.Demmy@roswellpark.org).

The first 20% of the full text of this article appears below.

Video-assisted thoracic surgery (VATS) lobectomies are feasible, preferred at certain centers, and gaining in popularity.1 Yet some VATS maneuvers remain difficult or clumsy compared with open techniques, such as lifting the partially dissected lobe by hand away from the hilum to find remaining connections.

Technique

Diamond-flex triangular retractor system (Snowden-Pencer, Tucker, Ga) devices begin as flexible, snakelike, hollow, 5-mm metal tubes composed of small individual sections threaded over internal tension cables anchored to the tips. The individual tubular sections are cut obliquely so that when the internal metal cables are tightened, the retractors conform into triangular shapes. Typically, each retractor is inserted while loose and flexible though a 5-mm port and then conformed within the open abdominal cavity to retract the liver or other structures.

This tool controls nearly freed . . . [Full Text of this Article]




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Home page
 Ann. Thorac. Surg.Home page
T. L. Demmy, C. E. Nwogu, and S. Yendamuri
Thoracoscopic Chest Wall Resection: What Is Its Role?
Ann. Thorac. Surg., June 1, 2010; 89(6): S2142 - S2145.
[Abstract] [Full Text] [PDF]


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