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J Thorac Cardiovasc Surg 2006;132:701-702
© 2006 The American Association for Thoracic Surgery

Brief Communication

Segmental rib resection for difficult cases of video-assisted thoracic surgery

Norihisa Shigemura, MD, PhD, Michael K. Hsin, mBBChir, FRCS, Anthony P.C. Yim, MD*

Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR.

Received for publication March 30, 2006; accepted for publication April 20, 2006.

* Address for reprints: Anthony P. C. Yim, MD, Professor of Surgery and Chief of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR (Email: yimap@cuhk.edu.hk).

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


Figure 1
Dr Hsin, Professor Yim, and Dr Shigemura (left to right)


Although video-assisted thoracic surgery (VATS) has been in existence for more than a decade, the application of VATS to major pulmonary resections is still not widely practiced. This may simply reflect the fact that many surgeons may still perceive this operation to be technically demanding. By resecting a segment of rib underneath the utility minithoracotomy (without rib spreading), the surgeon can perform difficult VATS cases safely and easily with conventional thoracic instruments. We have found this a very useful approach in difficult VATS cases. We present our technique here, which we have found to be simple and safe.

Technique and Indications

We place the patient in the full lateral decubitus . . . [Full Text of this Article]




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