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. 1992 Oct;54(4):800-7.
doi: 10.1016/0003-4975(92)91040-g.

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

R J Landreneau  1 , M J Mack, S R Hazelrigg, R D Dowling, T E Acuff, M J Magee, P F Ferson
Affiliations

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

R J Landreneau et al. Ann Thorac Surg. 1992 Oct.

Abstract

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.

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