Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies.

Landreneau, R J; Mack, M J; Hazelrigg, S R; Dowling, R D; Acuff, T E; Magee, M J; Ferson, P F · Ann Thorac Surg · 1992

case_series · Level IV

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Abstract

Video-assisted thoracic surgery is emerging as a viable approach to a number of intrathoracic disorders. Technical difficulties related to improper instrument selection and suboptimal intercostal operative access can reduce the utility of, and the enthusiasm for, the video-assisted thoracic surgical approach. This report describes the intercostal access strategy and the instrument positioning that we now prescribe for many video-assisted thoracic surgical procedures. These approaches have become refined during the course of our experience with 467 patients undergoing video-assisted thoracic operations over the last 18 months.

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