Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 1998 October;39(5) > The Journal of Cardiovascular Surgery 1998 October;39(5):677-81

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

ORIGINAL ARTICLES  THORACIC PAPERS


The Journal of Cardiovascular Surgery 1998 October;39(5):677-81

language: English

Economic lon­gi­tu­di­nal lat­er­al pos­te­ri­or thor­a­coth­o­my. Min­i­mal­ly inva­sive ­option in pul­mo­nary resec­tions

De Oli­vei­ra Car­val­ho P. E., Villaça Leão L. E.*, Giu­di­ci R.*, Ribei­ro Rodrigues O.**

From the Thoracic Service, Department of Surgery, School of Medicine of Marília
* Federal University of São Paulo
** University Mogi das Cruzes, São Paulo, Brazil


PDF  


Background. Pulmonary resec­tions are usu­al­ly per­formed ­through pos­te­ro­lat­er­al thor­a­cot­o­my. However ­this ­approach has ­been asso­ciat­ed large­ly ­with ear­ly and ­late inci­dence of post­op­er­a­tive mor­bid­ity. Several lat­er­al ­chest approach­es ­have ­been report­ed in the med­i­cal lit­er­a­ture ­with the objec­tive to ­decrease mor­bid­ity due to thor­a­cot­o­my. The aim of ­this ­study was to eval­u­ate the ­results of pul­mo­nary resec­tion, per­formed by ­means of a ­minor thor­a­cot­o­my in the pos­te­ri­or axil­lary ­region.
Methods. The ­skin inci­sion was lon­gi­tu­di­nal and scap­u­lar; shoul­der and ­chest ­wall mus­cles ­were not cut, a sub­per­i­os­teal­ly lat­er­al por­tion of rib was ­removed and the tho­rac­ic ­wall was ­opened in the rib bed. The ­approach in ­this ­place ­allowed a small­er ­skin inci­sion, ­skin ­flaps ­were not nec­es­sary and the ­chest ­wall open­ing ­stayed in a bet­ter posi­tion in rela­tion to the pul­mo­nary ­hilum, facil­i­tat­ing the expo­si­tion of its ante­ri­or and pos­te­ri­or fac­es. From January 1994 to December 1996 sev­en­ty-­eight con­sec­u­tive­ly non-select­ed ­patients under­went ­eighty sur­gi­cal pro­ce­dures for sev­er­al ­kinds of pul­mo­nary resec­tions.
Results. All sur­gi­cal pro­ce­dures ­occurred with­out dif­fi­cul­ties and ­with a low­er num­ber of post­op­er­a­tive com­pli­ca­tions. A ­very ­good aes­thet­ic ­result was ­reached.
Conclusions. We ­believe ­this ­chest ­approach may be a ­good ­choice for pul­mo­nary resec­tion.

top of page

Publication History

Cite this article as

Corresponding author e-mail