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J Thorac Cardiovasc Surg 2007;134:1088-1089
© 2007 The American Association for Thoracic Surgery

Brief Communication

Video-assisted thoracoscopic extrapleural pneumonectomy for malignant pleural mesothelioma

Division of Thoracic Surgery, Fujita Health University School of Medicine, Aichi, Japan.

Received for publication February 7, 2007; revisions received March 2, 2007; accepted for publication March 15, 2007.

^_* Address for reprints: T. Suda, MD, Division of Thoracic Surgery, Fujita Health University School of Medicine, 1-92 Dengakugakubo Kutsukake Toyoake, Aichi, Japan 470-1192. (Email: suda@fujita-hu.ac.jp).

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

Dr Suda

Although extrapleural pneumonectomy is performed for malignant pleural mesothelioma, it is one of the most invasive surgical procedures in the field of thoracic surgery. Herein we describe extrapleural pneumonectomy by video-assisted thoracoscopic surgery without rib spreading as a new approach to extrapleural pneumonectomy for malignant pleural mesothelioma.

Operative Technique

The surgical procedure was performed with the patient in the lateral decubitus position with isolated lung ventilation. The operating table was flexed to expand the intercostal spaces. First, an incision of approximately 12 cm was made laterally along the costal arch (Figure 1). The external oblique muscle and part of the rectus abdominis muscle were incised down to the peritoneum. The peritoneum and diaphragm were separated manually. On the right side, the peritoneum and diaphragm were separated until the inferior vena cava could be observed. On the left side, they were separated up to the area close to the descending aorta and esophagus. An incision of about 4 cm in length was made in the midaxillary line in the fourth intercostal space. With fingers placed outside the . . . [Full Text of this Article]

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				R. K. Sahai, C. E. Nwogu, S. Yendamuri, W. Tan, G. E. Wilding, and T. L. Demmy Is Thoracoscopic Pneumonectomy Safe? Ann. Thorac. Surg., October 1, 2009; 88(4): 1086 - 1092. [Abstract] [Full Text] [PDF]