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Ann Thorac Surg 1998;66:582-584
© 1998 The Society of Thoracic Surgeons


How to Do It

Muscle-sparing anterior thoracotomy for one-stage bilateral lung volume reduction operation

Marc de Perrot, MDa, Marc Licker, MDb, Anastase Spiliopoulos, MDa

a Unit of Thoracic Surgery, Department of Surgery, University Hospital of Geneva, Geneva, Switzerland
b Division of Anesthesiology, University Hospital of Geneva, Geneva, Switzerland

Accepted for publication March 26, 1998.

Address reprint requests to Dr Spiliopoulos, Unit of Thoracic Surgery, Department of Surgery, University Hospital of Geneva, 1211 Geneva 14, Switzerland

Bilateral lung volume reduction produces significant clinical and physiologic improvement in selected patients with end-stage emphysema. Current surgical approaches consist of median sternotomy and video-assisted thoracoscopy. This report describes an alternate technique of single-stage, bilateral lung volume reduction using muscle-sparing anterior thoracotomy in 18 patients with severe lung emphysema.




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