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The Annals of Thoracic Surgery, Vol 54, 800-807, Copyright © 1992 by The Society of Thoracic Surgeons
RJ Landreneau, MJ Mack, SR Hazelrigg, RD Dowling, TE Acuff, MJ Magee and PF Ferson
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.
ARTICLES
Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies
Section of Thoracic Surgery, University of Pittsburgh, Pennsylvania 15213.
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