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

Rodney J. Landreneau, Michael J. Mack, Stephen R. Hazelrigg, Robert D. Dowling, Tea E. Acuff, Mitchell J. Magee, Peter F. Ferson

Research output: Contribution to journalReview articlepeer-review

323 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)800-807
Number of pages8
JournalThe Annals of thoracic surgery
Issue number4
StatePublished - Oct 1992

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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