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Ann Thorac Surg 2003;75:1665-1667
© 2003 The Society of Thoracic Surgeons

How to do it

Hand-assisted thoracoscopic surgery

Gavin M. Wright, FRACS*a, C.Peter Clarke, FRACSb, Joseph M. Paiva, BMdSca

a St Vincent’s Hospital, Melbourne, Australia
b Austin and Repatriation Medical Centre, Victoria, Australia

Accepted for publication October 8, 2002.

* Address reprint requests to Dr Wright, 55 Victoria Parade, Fitzroy VIC 3065, Australia
e-mail: gmwright{at}ausdoctors.net

Hand-assisted thoracoscopic surgery is a novel minimally invasive approach for performing techniques conventionally performed by posterolateral thoracotomy. Hand-assisted thoracoscopic surgery overcomes one of the major drawbacks of minimally invasive thoracic surgery in allowing full manual palpation of the lungs through a subcostal incision under video guidance, while avoiding a thoracotomy when the indication is pulmonary metastasectomy with curative intent or resection of undiagnosed lung nodules. The technique may result in improved quality of life outcomes compared with a thoracotomy.




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