Surgical aspects of thoracoscopy and efficacy of right thoracoscopy in minimally invasive repair of pectus excavatum

Insertion of the port in the right lateral chest wall is safe and provides optimum visual access during the minimally invasive repair procedure. Careful interpretation of chest films can assist in judicious determination of the port site. Optimum pressures and near complete evacuation of the insufflation gases can drastically reduce complications. Alternative access sites such as port insertion above the level of bar placement or left-sided and/or bilateral thoracoscopy may not be necessary.