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Ann Thorac Surg 1992;54:800-807
© 1992 The Society of Thoracic Surgeons


Articles

Video-assisted thoracic surgery: Basic technical concepts and intercostal approach strategies

Rodney J. Landreneau, MD*,a,b,c, Michael J. Mack, MDa,b,c, Stephen R. Hazelrigg, MDa,b,c, Robert D. Dowling, MDa,b,c, Tea E. Acuff, MDa,b,c, Mitchell J. Magee, MDa,b,c, Peter F. Ferson, MDa,b,c

a Section of Thoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
b Division of Cardiothoracic Surgery, Humana Hospital, Dallas, Texas, USA
c Division of Cardiothoracic Surgery, St. Luke's Medical Center, Milwaukee, Wisconsin, USA

* Address reprint requests to Dr Landreneau, Section of Thoracic Surgery, University of Pittsburgh, Montefiore University Hospital, 3459 Fifth Ave, Pittsburgh, PA 15213.


    Abstract
 Top
 Abstract
 References
 
Video-assisted thoracic surgery is emerging as a viable approach to a number of intrathoracic disorders. Technical difficulties related to improper instrument selection and suboptimal intercostal operative access can reduce the utility of, and the enthusiasm for, the video-assisted thoracic surgical approach. This report describes the intercostal access strategy and the instrument positioning that we now prescribe for many video-assisted thoracic surgical procedures. These approaches have become refined during the course of our experience with 467 patients undergoing video-assisted thoracic operations over the last 18 months.


    References
 Top
 Abstract
 References
 

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Ann. Thorac. Surg.Home page
S. R. Hazelrigg, R. J. Landreneau, M. J. Mack, and T. E. Acuff
Thoracoscopic resection of mediastinal cysts
Ann. Thorac. Surg., September 1, 1993; 56(3): 659 - 660.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
W. Coosemans, T. E. Lerut, and D. E. M. Van Raemdonck
Thoracoscopic surgery: The Belgian experience
Ann. Thorac. Surg., September 1, 1993; 56(3): 721 - 730.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
M. J. Mack, T. E. Acuff, and W. H. Ryan
Implantable cardioverter defibrillator: The role of thoracoscopy
Ann. Thorac. Surg., September 1, 1993; 56(3): 739 - 740.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
T. E. Acuff, M. J. Mack, R. J. Landreneau, and S. R. Hazelrigg
Role of mechanical stapling devices in thoracoscopic pulmonary resection
Ann. Thorac. Surg., September 1, 1993; 56(3): 749 - 751.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
R. J. Landreneau, R. J. Keenan, S. R. Hazelrigg, R. D. Dowling, M. J. Mack, and P. F. Ferson
VATS wedge resection of the lung using the neodymium: Yttrium-aluminum garnet laser
Ann. Thorac. Surg., September 1, 1993; 56(3): 758 - 761.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
R. D. Dowling, R. J. Keenan, P. F. Ferson, and R. J. Landreneau
Video-assisted thoracoscopic resection of pulmonary metastases
Ann. Thorac. Surg., September 1, 1993; 56(3): 772 - 775.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
D. R. Jones, G. M. Graeber, G. G. Tanguilig, G. Hobbs, and G. F. Murray
Effects of insufflation on hemodynamics during thoracoscopy
Ann. Thorac. Surg., June 1, 1993; 55(6): 1379 - 1382.
[Abstract] [PDF]


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Ann. Thorac. Surg.Home page
J.-i. Ogawa, H. Inone, S. Kide, and A. Shohtsu
Newly devised instrument for spraying aerosolized fibrin glue in thoracoscopic operations
Ann. Thorac. Surg., June 1, 1993; 55(6): 1595 - 1596.
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