Atanasov D, Atanasova D
Khirurgiia (Sofiia). 1990;43(4):95-101.
After a brief review of available data in the literature on the sections for surgical approach to the cervical segment of the thoracic duct, the authors made a comparative analysis, using time-honoured objective criteria on surgery, between the universal transverse cervical section (20 operated patients) for approach to the cervical segment of the thoracic duct and the oblique cervical section which they suggest (28 operated patients) it passes along the bisector of the angle formed between the thoracic pedicle of the sternocleidomastoid muscle and the upper edge of the left clavicle. It is concluded that the oblique cervical section for approach to the cervical segment of the thoracic duct is superior, with respect to accessibility and inflicted trauma.
在简要回顾了文献中有关胸导管颈段手术入路各部分的现有数据后,作者运用长期以来的手术客观标准,对用于胸导管颈段入路的通用横颈段入路(20例手术患者)和他们所建议的斜颈段入路(28例手术患者,该入路沿胸锁乳突肌胸骨头与左锁骨上缘所形成夹角的平分线走行)进行了比较分析。得出的结论是,就可达性和造成的创伤而言,用于胸导管颈段入路的斜颈段入路更具优势。