title: Intercostal-subcostal combined complete port-accessed video-assisted lobectomy.
abstract: Video-assisted lobectomy procedures include a broad spectrum of operative techniques that range from complete thoracoscopic surgery to minithoracotomy with a thoracoscope serving only as a light source. We describe a modified method for thoracoscopic approach for lobectomy with thoracic muscle sparing based on a combined complete port-accessed technique with a subcostal incision. We have successfully used this technique for lobectomies in stage I lung tumors. Intercostal muscles and nerve injury preservation allied to fast track rehabilitation perioperative care allowed rapid postoperative recovery.
authors.affiliation: Department of Thoracic and Vascular Surgery, Victor Dupouy Hospital, Argenteuil, France. patrick.bagan@ch-argenteuil.fr
authors.forename: Patrick
authors.initials: P
authors.lastname: Bagan
authors.forename: Joao-Carlos
authors.initials: JC
authors.lastname: Das-Neves-Pereira
authors.forename: Ali Ben
authors.initials: AB
authors.lastname: Abdesselam
authors.forename: Jean Claude
authors.initials: JC
authors.lastname: Couffinhal
mesh_terms: D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D013906:Thoracoscopy; D020535:Video-Assisted Surgery