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General Principles of Thoracoscopic Surgery

  • A. Cuschieri

Abstract

There is no doubt that the substantial benefit to the patient resulting from thoracoscopic surgery emanates, to a large extent, from the avoidance of a thoracotomy. Apart from the immediate consequences of thoracotomy which often precipitate cardiorespiratory decompensation and require postoperative ventilatory and inotropic support, the recovery period following a thoracotomy extends over a period of several months, particularly in elderly patients and those with co-existing cardiac disease. Post-thoracotomy pain, including intercostal neuralgia, is a very common occurrence. It detracts from the benefit of the operation and usually requires prolonged treatment or referral to pain clinics. In addition, scapular fixation to the chest wall and the development of a frozen shoulder are frequently encountered and necessitate active treatment.

Keywords

Thoracoscopic Surgery Parietal Pleura Freeze Shoulder Wedge Pulmonary Artery Pressure Intercostal Neuralgia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • A. Cuschieri

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