Patient positioning for left sided thoracotomy
The patient is placed onto a radiolucent table and turned into the lateral decubitus position, left side up.
The left arm is elevated and placed in a well-padded support and a cushion pad should be placed underneath the right axilla.
Depending on surgeon preference, the table could have a tilting option. If selected, the tilting option should be located underneath the patient's thoracolumbar junction, which gives the possibility to open the intercostal space.
The operating room should be set in a way to accommodate fluoroscopy and the thoracoscopic instruments and screen should be placed in front of the patient as surgeons usually positions themselves in the back of the patient.
Upon completion of the anterior release, the patient is positioned prone.