In the inner lateral thoracic wall the bilaterally trajectory of a vascular package at the level of the medial axillary line
was observed, parallel to the internal thoracic artery and originating from these vessel.
Physical examination showed a tender, 1 cm raised, superficial nodule located at the 9 o'clock axis of the right breast, along the anterior axillary line
Another 5mm port was inserted in the anterior axillary line
in the left hypo-chondrium region for retraction.
sup] Generally, one port for viewing was done at the seventh intercostal spaces on the middle axillary line
, and two ports for working on the anterior axillary line
and posterior axillary line
, respectively, on which the intercostal spaces in detail according to the location of lesion by computed tomography.
V5R (at the horizontal level of V4R) in the right anterior axillary line
, V6R (at the horizontal level of V4R) in the right mid axillary line
The cameral port was placed in the 7th intercostal space across the posterior axillary line
, and the two operating ports were placed respectively in the 4th intercostal space across the anterior axillary line
and the 8th intercostal space across the angulus inferior scapulae line.
Retroperitoneum is accessed from the space between the 12th rib superiorly, the iliac crest inferiorly, the lateral border of the paraspinal muscles poster laterally and the posterior axillary line
th] rib at 3 sites: lateral border of the paraspinous muscle, the mid-scapular line and the posterior axillary line
After establishing the pneumoperitoneum by Veress needle or by Hasson technique, three to four trocars are usually placed between the midclavicular line and anterior axillary line
2 cm caudally to the costal margin.
After emptying the stomach of its contents using suction, insert the Veress needle into the peritoneal cavity at a point midway between the midclavicular line and the anterior axillary line
, 3 cm below the costal margin (FIGURE).
The left leg electrode was positioned in the anterior axillary line
halfway between the costal margin and the iliac crest.
After the left lateral chest and axilla were prepped, a 5-mm trocar was placed in the anterior axillary line
at the 5th to 6th intercostal space.