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Ann Thorac Surg 2005;80:755-756
© 2005 The Society of Thoracic Surgeons

How to do it

Thoracoscopic Rib Resection Using a Gigli Saw

Tomoyuki Nakagiri, MD, Akinori Akashi, MD, Norihisa Shigemura, MD *

Department of Thoracic Surgery, Takarazuka Municipal Hospital, Takarazuka, Hyogo, Japan

Accepted for publication February 18, 2004.

* Address reprint requests to Dr Nakagiri, Department of Thoracic Surgery, Takarazuka Municipal Hospital, 4-5-1, Kohama, Takarazuka-city, Hyogo, 665-0827, Japan; (Email: gilly64{at}okn.gr.jp).

When a conventional approach is used to perform a rib resection, a skin incision longer than the rib to be resected must be made. As a result, a conventional rib resection leaves a rather large and esthetically unfavorable scar. After considering pain management, esthetics, and quality of life, we devised a new technique for thoracoscopic rib resection that uses a Gigli saw. This new technique was performed on an overweight woman with a solitary metastatic bone tumor of the right eighth rib, whose case is described herein. The patient’s postoperative course was satisfactory. Since this technique does not require a long skin incision, pain management and aesthetic results are improved compared with conventional techniques.






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