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J Thorac Cardiovasc Surg 2005;130:916-917
© 2005 The American Association for Thoracic Surgery


Brief Communication

Video-assisted thoracoscopic bilateral lung metastasectomy with a subxiphoid access port

Yuji Taniguchi, MD a , * , Yoshimasa Suzuki, MD b , Takako Suda, MD b , Tomoko Inoue, MD b , Kunio Araki, MD b , Norimasa Ito, MD b , Koichiro Okada, MD b , Kiyosuke Ishiguro, MD b , Hiroshige Nakamura, MD a , Shigetsugu Ohgi, MD b

a Department of General Thoracic Surgery, Tottori University Hospital
b Division of Organ Regeneration Surgery, Faculty of Medicine, Tottori University, Yonago, Japan

Received for publication February 1, 2005; accepted for publication March 1, 2005.

* Address for reprints: Yuji Taniguchi, MD, Department of General Thoracic Surgery, Tottori University Hospital, 36-1 Nishi-Cho, Yonago, Tottori, 683-8504 Japan (Email: kuichi@grape.med.tottori-u.ac.jp).

The first 20% of the full text of this article appears below.


Figure 1
Taniguchi, Nakamura, Ito, Ohgi (left to right)


Surgical treatment of tumor lesions in the bilateral lung is performed by a bilateral thoracotomy, a median sternotomy, and a clamshell incision. Recently, thoracoscopic surgery has become widely used for the treatment of metastatic lesions in the bilateral lung. 1 Go Because conventional thoracoscopic surgery for the treatment of metastatic lesions in the bilateral lung is performed in the lateral decubitus position, changes in body position are troublesome. We developed a thoracoscopic partial resection of the bilateral lung with metastatic lesions using an access port inserted below the xiphoid process for which changes in the body position are not required.

Clinical Summary

A 72-year-old man was admitted to our hospital because of metastatic lung cancer after right hemicolectomy for ascending colon cancer. Chest radiography demonstrated three tumor shadows in the left upper lung field. Chest computed tomography revealed three tumor shadows in the left lung of S1+2a, S1+2c, S3a, and S3b and one tumor shadow in the . . . [Full Text of this Article]







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