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The Annals of Thoracic Surgery, Vol 54, 800-807, Copyright © 1992 by The Society of Thoracic Surgeons


ARTICLES

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

RJ Landreneau, MJ Mack, SR Hazelrigg, RD Dowling, TE Acuff, MJ Magee and PF Ferson
Section of Thoracic Surgery, University of Pittsburgh, Pennsylvania 15213.

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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