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The Annals of Thoracic Surgery, Vol 56, 758-761, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

VATS wedge resection of the lung using the neodymium:yttrium-aluminum garnet laser

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

Many thoracic surgical procedures previously performed using open thoracotomy techniques can now be accomplished using video-assisted thoracic surgical approaches. This has primarily resulted from improvements in both the video and surgical instrumentation and the development of an effective endoscopic surgical stapling device. Laser technology that has been adapted for use in endoscopic surgery has been extended to video-assisted thoracic surgical applications for the resection of pulmonary nodules difficult to manage with the endoscopic stapler alone. We present our experience with the neodymium:yttrium- aluminum garnet laser as either a primary resective tool or as an adjunct to the endoscopic stapler in 67 consecutive patients who underwent video-assisted thoracic surgical wedge resection of the lung.

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