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Vincenzo Ambrogi
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Ann Thorac Surg 1999;67:1808-1810
© 1999 The Society of Thoracic Surgeons

How to Do It

Video-assisted approach for transxiphoid bilateral lung metastasectomy

Tommaso Claudio Mineo, MDa, Eugenio Pompeo, MDa, Vincenzo Ambrogi, MDa, Chiara Pistolese, MDa

a Department of Thoracic Surgery, Tor Vergata University, Rome, Italy

Accepted for publication December 20, 1998.

Address reprint requests to Dr Mineo, Cattedra di Chirurgia Toracica, Università Tor Vergata, Ospedale S. Eugenio, P. le Umanesimo, 10, 00144 Rome, Italy
e-mail: mineo{at}utovrm.it

Radical resection has proved to be the most effective treatment of lung metastases, and manual palpation is considered the most accurate method for detection of occult metastases. To allow bilateral manual palpation during video-assisted metastasectomy, we developed a transxiphoid approach without sternotomy. Twenty-one lesions were successfully resected in 6 patients without mortality or morbidity. This approach allows easy manual palpation of the lungs and facilitates bilateral video-assisted metastasectomy.




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