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

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...

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Veröffentlicht in:	The Annals of thoracic surgery 1992-10, Vol.54 (4), p.800-807
Hauptverfasser:	Landreneau, Rodney J., Mack, Michael J., Hazelrigg, Stephen R., Dowling, Robert D., Acuff, Tea E., Magee, Mitchell J., Ferson, Peter F.
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Endoscopes Esophagus - surgery Humans Lung - surgery Mediastinum - surgery Medical sciences Pericardiectomy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracic Surgery - instrumentation Thoracic Surgery - methods
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Beschreibung
Zusammenfassung:	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.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/0003-4975(92)91040-G