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Uni-portal thoracoscopic lymph node dissection under the left prominence: pause ventilation technique.

Yanhui Yang1, Jinyuan Mei2, Jiaxiong Luo1

  • 1Department of Thoracic Surgery, The First People's Hospital of Neijiang, Neijiang City, Sichuan Province, China.

Journal of Cardiothoracic Surgery
|June 9, 2026
PubMed
Summary

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This summary is machine-generated.

Pause ventilation, using transnasal humidified rapid-insufflation ventilatory exchange (THRIVE), facilitates challenging lymph node dissection during uni-portal video-assisted thoracoscopic lobectomy (UVATS). This technique enhances surgical exposure and safety.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Techniques

Background:

  • Uni-portal video-assisted thoracoscopic lobectomy (UVATS) is established, but complete lymphadenectomy, especially for left hemithorax lymph nodes (LHLN), is difficult.
  • Limited research exists on using pause ventilation during UVATS for LHLN dissection.

Purpose of the Study:

  • To propose and evaluate the application of pause ventilation for facilitating LHLN dissection during UVATS.
  • To demonstrate the surgical procedure using an operative video.

Main Methods:

  • Implementation of an intermittent apnea technique via transnasal humidified rapid-insufflation ventilatory exchange (THRIVE).
  • Application of pause ventilation during UVATS to enable LHLN dissection.
  • Detailed description of the surgical procedure.
Keywords:
Lymph node dissectionPause ventilation techniqueUVATS

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Main Results:

  • Pause ventilation effectively promotes LHLN dissection during UVATS.
  • The technique allows for clear exposure of surrounding tissues and organs.

Conclusions:

  • Pause ventilation for LHLN dissection in UVATS is a safe and feasible approach.
  • This method improves surgical visualization and facilitates complete lymphadenectomy.