Related Experiment Video
Updated: Jun 13, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
[One-port video-assisted thoracic surgery for pneumothorax using mini loop retractor]
J Ichinose1, K Nakahara, S Kina
1Department of Thoracic Surgery, Tokyo Teishin Hospital, Tokyo, Japan.
Abstract:
We successfully performed 1-port video-assisted thoracic surgery (VATS) for primary spontaneous pneumothorax using Mini Loop Retractor II in 137 (39%) of 351 patients from March 2005 to May 2009 at Tokyo Teishin Hospital. This retractor is accessible to the thoracic cavity by simple skin puncture. It can hold and retract the lung freely like forceps. We made a 2 cm incision and inserted a 5 mm thoracoscope. We held the affected lung by the retractor and performed wedge resection by endoscopic staplers through skin incision. The operation time was 34.8 +/- 10.9 minutes and the blood loss was trace level in all cases. The duration of chest drainage was 1.2 +/- 0.8 days and the postoperative hospital stay was 2.8 +/- 1.2 days. There was no major complications. The recurrence of pneumothorax was noted in 17 (12.4%) cases. One-port VATS for pneumothorax using Mini Loop Retractor II can be applied easily and safely to selected patients.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...

