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Left anterolateral thoracotomy is the incision of choice for open chest massage, a critical maneuver in the management of traumatic cardiac arrest. Bilateral anterior thoracotomy with transverse sternotomy, or clamshell incision, is the incision of choice for bilateral lung transplantation. [5] It is also a valuable tool in trauma settings. [6]
First an incision is made along the fourth or fifth intercostal space (between the ribs), intercostal muscles and the parietal pleura are divided, and then the ribs are retracted to provide visualization. [6] When the incision covers both the right and left hemithoraxes it is referred to as a "clamshell" thoracotomy.
The most common type of lobectomy is known as a thoracotomy. When this type of surgery is done the chest is opened up. An incision will be made on the side of the chest where the affected area of the lung is located. The incision will be in between the two ribs located in that area.
A lobectomy is the surgical removal of one of the five lung lobes (right upper, right middle, right lower, left upper and left lower lobes). [24] Lobectomies are the most common type of lung surgery and the standard operation for most NSCLC patients. [25] Though specific surgical techniques vary for each lobe, the general workflow is identical.
The main advantages of VATS over thoracotomy are that major muscles of the chest wall are not divided and rib spreaders that can lead to rib fractures or costovertebral joint pain are not used. This results in a hospital length of stay after VATS lobectomy generally reported to range from 3–5 days, [ 4 ] or roughly half that for lobectomy via ...
Since the first successful open heart operation in 1953, most cardiac surgeons initially used the bilateral anterior thoracotomy, which was a very complication-prone and painful approach. [6] In 1957, after the demonstration of the superiority of median sternotomy, it became the standard incision and has remained so until today. [5]
The paravisceral and thoracic aorta are approached via a left-sided posteriolateral thoracotomy incision in approximately the 9th intercostal space. [10] For a thoracoabdominal aortic aneurysm, this approach can be extended to a median or paramedian abdominal incision to allow access to the iliac arteries.
Access is gained through a left lateral thoracotomy incision below the sixth rib. The inferior mediastinum is exposed to the level of the anterior aspect of the descending aorta. All of the shunting veins that direct blood to the collateral veins from the esophagus are ligated, taking special consideration to preserving the extraesophageal ...