Videothoracoscopy: a new perioperative challenge (continuing education credit).

1. The four cannula videothoracoscopic technique is generally used. This method affords a sufficient visual field and allows an excellent "two-handed" approach. 2. Videothoracoscopy is not for every patient; careful patient selection is important. It is also necessary to be able to develop and maintain a pneumothorax for a successful procedure. 3. The advantages of videothoracoscopy include reduced morbidity and mortality, less pain, decreased length of hospitalization, lowered health care costs, decreased blood loss, and decreased postoperative wound infections.