[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.142.219. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
June 1, 1994

Cardiothoracic Surgery

Author Affiliations

Allegheny General Hospital and The Allegheny Campus of the Medical College of Pennsylvania, Pittsburgh

JAMA. 1994;271(21):1658-1660. doi:10.1001/jama.1994.03510450030016
Abstract

Cardiothoracic surgery continues to be a dynamic field with new developments arising from a variety of sources. In the last 2 years the necessity for making a major incision for a thoracic operation has been challenged, and in many instances it has been replaced by video-assisted thoracoscopic surgery. This technique uses several small incisions (1 to 2 cm) on the chest wall through which a thoracoscope and endoscopic instruments can be introduced and manipulated. An image is captured on a video monitor by a miniature camera attached to the thoracoscope. The advantages of video-assisted thoracoscopic surgery over thoracotomy are decreased postoperative pain, shorter hospitalization, and faster patient recovery.1 The technique does require single-lung ventilation with collapse of the ipsilateral lung, and therefore general anesthesia and a double-lumen endotracheal tube are needed.

Video-assisted techniques have replaced the standard open thoracotomy approaches for most simple thoracic operations. Procedures that are now

First Page Preview View Large
First page PDF preview
First page PDF preview
×