Intercostal-subcostal combined complete port-accessed video-assisted lobectomy.
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.
Bagan
Patrick
P
Department of Thoracic and Vascular Surgery, Victor Dupouy Hospital, Argenteuil, France. patrick.bagan@ch-argenteuil.fr
Das-Neves-Pereira
Joao-Carlos
JC
Abdesselam
Ali Ben
AB
Couffinhal
Jean Claude
JC
D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D013906:Thoracoscopy; D020535:Video-Assisted Surgery