Muscle-saving lateral axillary thoracotomy.
Seventy-five consecutive thoracotomies through a lateral axillary thoracotomy incision are reviewed. The limited approach is a muscle-splitting incision with preservation of the Latissimus Dorsi and Pectoralis Major muscles and splitting of the Serratus Anterior muscle. Detailed description of the operative technique is given, and a review of morbidity and mortality is included. We conclude that the lateral axillary incision is a good alternative to the standard postero-lateral approach, as it provides excellent visibility and allows for all pulmonary surgical procedures, with minimal postoperative discomfort.
Claeys
D
D
Department of General Surgery, AZ Maria Middelares, Ghent, Belgium.
Flamme
A
A
Vanoverbeke
H
H
Muysoms
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016629:Esophagectomy / Q000379:methods; D005260:Female; D006801:Humans; D007366:Intercostal Muscles / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods; D012272:Ribs / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*