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Ann Thorac Surg 1998;66:965
© 1998 The Society of Thoracic Surgeons


How to Do It

Counteracting paradoxical motion in videoendoscopic operations

Anthony P.C. Yim, MDa, Mohammad Bashar Izzat, FRCS(CTh)a, Tak Wai Lee, FRCS(E)a

a Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China

Accepted for publication May 18, 1998.

Address reprint requests to Dr Yim, Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, Shatin, NT, Hong Kong, China
e-mail: (yimap{at}cuhk.edu.hk)

Paradoxical motion during videoendoscopic operations is generated when the camera and instruments are on opposite sides of the targeted pathology. This is occasionally difficult to avoid when operating on a wide field. We have found that turning the camera 180 degrees restores the normal spatial relationship. This simple maneuver allows the operator to use the existing camera and instrument ports to his or her best ergonomic advantage.




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