Single-Incision Thoracoscopic Surgery using Spinal Needle Anchoring

Single-incision thoracoscopic surgery (SITS) for primary spontaneous pneumothorax offers advantages over multiport video-assisted thoracoscopic surgery, but lesion retraction remains challenging. We describe a modified SITS technique using spinal needle anchoring for precise lung stabilization. A bent spinal needle inserted through an intercostal space mimics a second-port grasper, enabling multiple re-hooking maneuvers for optimal lesion alignment. This technique allows for a smaller incision, minimizes instrument crowding, and reduces postoperative pain. The needle insertion site leaves no visible scar. Additionally, it is beneficial in cases with multiple bullae or challenging lung anatomy. SPINAL NEEDLE ANCHORING MAY REPRESENT A SIMPLE AND EFFECTIVE MODIFICATION OF THE SITS TECHNIQUE: .