Robotic left arm port was opened on the anterior axillary fossa, and right arm was opened on the 5th or 6th ICS on the
midclavicular line. After the ports were placed, the robot arms docked on the patient by side docking [Figure 2], The working area was expanded with C[O.sub.2] insufflations at a pressure of 6 mmHg and a flow rate of 6 L/min until the opposite pleura opened.
Bilateral LNE (the largest one being 2 cm) was found in the submandibular region and the liver was palpable 3-4 cm below the right costal margin in the
midclavicular line.
The probe was placed below the right subcostal margin in the
midclavicular line and moved till better appearance of the posterior third of the right diaphragm.
A 10-mm umbilical port was inserted with an open technique using a blunt Hassan trocar at the
midclavicular line. The remaining ports were inserted under direct vision.
Because of increasing respiratory distress and increasing Fi[O.sub.2] to 70-100%, a needle aspiration of the right pneumothorax was performed under aseptic precautions, without analgesia using 23G butterfly needle attached to a syringe with a 3-way stopcock, at the right 2nd intercostal space just above the costal margin of the third rib at the
midclavicular line. 16 ml of air was aspirated.
The onset of sensory blockade with maximal cephalic spread was assessed by bilateral pinprick method along the
midclavicular line using a short-beveled 26-gauge hypodermic needle using a 3-point scale: 0 = normal sensation, 1 = loss of sensation of pin prick (analgesia), and 2 = loss of sensation of touch (anesthesia).
#Clinicalpalpable spleen below the left costal margin along the
midclavicular line.
PMI at the apex in the left
midclavicular line. Cardiac auscultation reveals a regular heart rate and rhythm.
Apex beat was in fifth left intercostal space just inside
midclavicular line, forceful in nature.
The recording disk electrodes were placed on the wrist and 5(th) intercostal space at the
midclavicular line. Then, RRIV was calculated manually by the percentage of difference between the earliest and the latest R waves (range of the R-R intervals) /mean of R-R intervals*100 (8).
There was a visible 10 cm protrusion of lung and pleural tissue in the third intercostal space at the
midclavicular line (Fig.
[12] 12 mm-upper 5 mm--right medial abdomen subcostal area right subcostal Shirobe and 12 mm--left 12 mm--midclavicular Maruyama [13]
midclavicular line line right Agarwal et al.