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Ann Thorac Surg 2000;70:318-319
© 2000 The Society of Thoracic Surgeons

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Thoracoscopic localization of nonpalpable rib tumors for excisional biopsy

Jerome M. McDonald, MDa, Richard K. Freeman, MDa

a Department of Surgery, Bremerton Naval Hospital, Bremerton, Washington, USA

Address reprint requests to Dr Freeman, Division of Cardiovascular and Thoracic Surgery, The University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75235
e-mail: rkfreeman{at}pol.net

Nonpalpable tumors of the rib can be difficult to localize accurately at the time of excisional biopsy. Furthermore, the ability of current imaging techniques to assess pleural or pulmonary involvement is not reliable. An intraoperative localization method using single port thoracoscopy is discussed which allows optimal placement of a biopsy incision and provides an accurate assessment of any tumor invasion into the adjacent pleura or lung.






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