Editing VATS lobectomy (section)

== '''Technique''' ==

* Access
** Anterior 3-incision
*** 12mm posterolateral port posterior axillary line (7th or 8th ICS) - initial exploration for contraindications to VATS
*** 12mm incision as anterior as possible 6th or 7th ICS
*** 4cm access incision mid-axilla along 4th ICS + Alexis wound retractor
***
* Mobilisation of the lobe
** Divide inferior pulmonary ligament to the level of the inferior pulmonary vein
* Dissection and management of vessels and bronchus
** Echelon 45 vascular to PV and PA
** Endo-GIA purple 45 to bronchus
* Fissure dissection
** Fissure first
** Fissure last
** Tunnel for stapler
* Remove specimen
* Lymph node dissection
** Upper lobectomy: paratracheal (2 + 4) and subcarinal (7)
** Lower: additional level 9 (inferior pulmonary ligament)
* Leak test
** Pleural sealant
** Chromic 2/0 figure-of-eight
* 28Fr chest tube