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Ann Thorac Surg 2009;88:685-687. doi:10.1016/j.athoracsur.2008.11.068
© 2009 The Society of Thoracic Surgeons
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How To Do It

Modified French Window as an Alternative to Thoracotomy for Complex Intrathoracic Pathology

M. Blair Marshall, MD*, Yvonne M. Carter, MD

Division of Thoracic Surgery, Department of Surgery, Georgetown University Medical Center, Washington, DC

Accepted for publication November 26, 2008.

* Address correspondence to Dr Marshall, Division of Thoracic Surgery, Department of Surgery, 4 PHC, Georgetown University Medical Center, 3800 Reservoir Rd, NW, Washington, DC 20007 (Email: mbm5{at}gunet.georgetown.edu).

Video-assisted thoracic surgery is associated with less pain and shorter recovery than open procedures. Due to limited exposure, video-assisted thoracic surgery is not suitable for the management of all intrathoracic pathology. Muscle-sparing thoracotomies are smaller, but they are not associated with less pain or faster recovery. A modified French window is a useful approach to complex intrathoracic pathology and may result in less postoperative pain and shorter recovery than standard and muscle-sparring thoracotomies. This technique is suitable for the management of complex intrathoracic disease.




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