Boarding of two ports by transthoracical route without endotracheal intubation. A line of inquiry

The approach to mediastinal injuries is one of the most exciting procedures for the chest surgeon. Lateral thoracotomy or sternotomy is usually used, although there are other procedures. With the development of thoracoscopic surgery implemented by Jacoveus, it has been perfected above all with better equipment and technological implements, although it has become clear to our work group in which cases it should be used and in which cases it should not. In some mediastinal lesions the endoscopic approach is possible and not feasible in others. In this work group, we have been able to implement the two-port surgical approach for the resection of some mediastinal lesions, as in this case, which is already in addition to the technique proposed in this Service.