Related Experiment Video
Updated: Jun 10, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
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.
Technique:
Uni-portal video-assisted thoracoscopic lobectomy (UVATS) has become a well-established technique; however, performing a complete lymphadenectomy, particularly the removal of lymph nodes located below the left hemithorax (LHLN), remains a challenging procedure. To our knowledge, there are limited reports addressing the use of pause ventilation during UVATS for LHLN dissection. In this study, we propose the application of pause ventilation for facilitating LHLN dissection under UVATS. Through transnasal humidified rapid-insufflation ventilatory exchange (THRIVE), we innovatively implemented an intermittent apnea technique during surgery, enabling UVATS dissection of the LHLN. This study details the surgical procedure and includes an accompanying operative video.
Results:
The application of pause ventilation can promote LHLN dissection under UVATS.
Conclusions:
The use of pause ventilation for LHLN dissection in UVATS appears safe and feasible, providing clear exposure of key surrounding tissues and organs.
