Posterolateral thoracotomy - Operative Techniques in Thoracic …
The posterolateral thoracotomy is still probably the most commonly used incision in general thoracic surgery. It provides not only excellent access to the lung, hilum, middle and posterior mediastinum, endothoracic trachea, and endothoracic esophagus, but it also allows for the safe control of pulmonary blood vessels during pulmonary resection.
Posterolateral thoracotomy - MMCTS
2006年1月1日 · Posterolateral thoracotomy is the historic gold standard of thoracic incisions, offering an excellent exposure for most general thoracic procedures. However, it requires transection of large muscles with all inherent disadvantages; muscle-sparing variants should, therefore, be considered.
Thoracotomy - StatPearls - NCBI Bookshelf - National Center for ...
2023年7月24日 · Post-thoracotomy pain syndrome is defined as pain along the thoracotomy incision site that persists for greater than two months after the operation. Shoulder dysfunction is caused by the division of neurovascular bundles and musculature in traditional non-muscle sparing thoracotomy incisions. [9]
CTSNet Step-by-Step Series: Posterolateral Thoracotomy
2018年10月8日 · This video demonstrates a posterolateral thoracotomy. The authors detail the procedure in a step-by-step fashion, using diagrams and surgical video to illustrate key technical elements. This video also shows a muscle-sparing approach to the posterolateral thoracotomy, preserving the serratus anterior.
Thoracotomy | The American Association for Thoracic Surgery
The thoracotomy itself will generally be longer than the skin incision; use retractors to help extend it both anteriorly and posteriorly underneath the skin/muscles of the chest wall. Taking care not to divide the erector spinae muscles posteriorly. A Tuffier or other comparable retractor is placed, opening it slowly to avoid fracturing a rib.
ABSTRACT We have developed a technique for postero- lateral thoracotomy that allows adequate exposure for most thoracic operations, yet spares both the latissimus dorsi qnd serratus anterior muscles. Postoperative pain is de- creased, functional recovery is improved, and patients can frequently be discharged earlier from the hospital.
Posterolateral Thoracotomy Incision - InsideSurgery Medical Information ...
2009年5月17日 · Indications for Posterolateral Thoracotomy. This posterolateral thoractomy incision is used for gaining surgical access to the structures on the left side of the thoracic (chest) cavity, including the left lung, heart, aorta, the lower esophagus, and diaphragm. Preoperative Workup and Preparation
A Muscle-Saving Posterolateral Thoracotomy Incision - CHEST
A posterolateral thoracotomy is the incision of choice for the majority of thoracic procedures. The standard approach results in division of the latissimus dorsi and serratus anterior muscles and paralysis of the caudad portion of the transected muscle.
Posterolateral thoracotomy without muscle division: a new …
2011年11月16日 · We propose a new thoracotomy that avoids a dorsal muscle section but has the same intrathoracic exposure as a posterolateral thoracotomy. In this approach, the patient is placed in a lateral decubitus position. A skin incision is …
Principles of posterolateral thoracotomy and pneumonectomy
2017年5月1日 · Posterolateral thoracotomy is required to gain access to the thoracic cavity. The patient is placed on the operating table in a lateral decubitus position and a single-lung ventilation technique is used with a double-lumen endotracheal tube.