Abstract
A modified posterolateral thoracotomy is described that combines the advantages of complete muscle sparing through a thoracolumbar fascial slide with excellent exposure. The technique is easy to perform. The procedure was associated with relatively little postoperative pain, coughing was effective, and early ambulation was achieved. Experience with this approach in the first 49 patients suggests that it offers an attractive alternative to the standard muscle cutting posterolateral thoracotomy approach for elective procedures.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bethencourt D. M., Holmes E. C. Muscle-sparing posterolateral thoracotomy. Ann Thorac Surg. 1988 Mar;45(3):337–339. doi: 10.1016/s0003-4975(10)62479-4. [DOI] [PubMed] [Google Scholar]
- Byrd R. B., Burns J. R. Cough dynamics in the post-thoracotomy state. Chest. 1975 Jun;67(6):654–657. doi: 10.1378/chest.67.6.654. [DOI] [PubMed] [Google Scholar]
- Fisch A. E., Brodey P. A., Salman B. J., Mall J. C. Post-thoracotomy lung herniation. Br J Radiol. 1978 Sep;51(609):688–690. doi: 10.1259/0007-1285-51-609-688. [DOI] [PubMed] [Google Scholar]
- James E. C., Kolberg H. L., Iwen G. W., Gellatly T. A. Epidural analgesia for post-thoracotomy patients. J Thorac Cardiovasc Surg. 1981 Dec;82(6):898–903. [PubMed] [Google Scholar]
- Maiwand O., Makey A. R. Cryoanalgesia for relief of pain after thoracotomy. Br Med J (Clin Res Ed) 1981 May 30;282(6278):1749–1750. doi: 10.1136/bmj.282.6278.1749. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mitchell R., Angell W., Wuerflein R., Dor V. Simplified lateral chest incision for most thoracotomies other than sternotomy. Ann Thorac Surg. 1976 Sep;22(3):284–286. doi: 10.1016/s0003-4975(10)64917-x. [DOI] [PubMed] [Google Scholar]
- Noirclerc M., Dor V., Chauvin G., Kreitman P., Masselot R., Balenbois D., Hoyer J., Broussard M. La thoracotomie latérale large sans section musculaire. Ann Chir Thorac Cardiovasc. 1973 Apr;12(2):181–184. [PubMed] [Google Scholar]
- PARKHOUSE J., LAMBRECHTS W., SIMPSON B. R. The incidence of postoperative pain. Br J Anaesth. 1961 Jul;33:345–353. doi: 10.1093/bja/33.7.345. [DOI] [PubMed] [Google Scholar]
- Rooney S. M., Jain S., McCormack P., Bains M. S., Martini N., Goldiner P. L. A comparison of pulmonary function tests for postthoracotomy pain using cryoanalgesia and transcutaneous nerve stimulation. Ann Thorac Surg. 1986 Feb;41(2):204–207. doi: 10.1016/s0003-4975(10)62670-7. [DOI] [PubMed] [Google Scholar]
- Toledo-Pereyra L. H., DeMeester T. R. Prospective randomized evaluation of intrathoracic intercostal nerve block with bupivacaine on postoperative ventilatory function. Ann Thorac Surg. 1979 Mar;27(3):203–205. doi: 10.1016/s0003-4975(10)63275-4. [DOI] [PubMed] [Google Scholar]