Surgery Today

, Volume 47, Issue 4, pp 476–480 | Cite as

Rib resection using a pneumatic high-speed power drill system for lung cancer with chest wall invasion: our clinical experience

  • Yuichiro Ueda
  • Tatsuo Nakagawa
  • Toshiya Toyazaki
  • Naohisa Chiba
  • Masashi Gotoh
Original Article


Rib resection for chest wall tumors, including lung cancer with chest wall invasion, is usually performed through open thoracotomy. Resection of part of the external rib cage requires an elongated or additional incision depending on the location and extension of the tumor, eventually becoming more invasive to patients. We recently introduced a technique of rib resection using a pneumatic high-speed power drill system known as “air tome”. This novel technique is easy to perform through a small incision or even via video-assisted thoracoscopic surgery (VATS) in selected patients. We present our clinical experience and discuss the usefulness of this technique for rib resection in patients with lung cancer and chest wall invasion.


Lung cancer Chest wall resection Pneumatic high-speed power drill 


Compliance with ethical standards

Conflict of interest

None declared.


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Copyright information

© Springer Japan 2017

Authors and Affiliations

  • Yuichiro Ueda
    • 1
  • Tatsuo Nakagawa
    • 1
  • Toshiya Toyazaki
    • 1
  • Naohisa Chiba
    • 1
  • Masashi Gotoh
    • 1
  1. 1.Department of Thoracic SurgeryTenri HospitalTenriJapan

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