David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California, USA.
Ann Thorac Surg. 2011 Mar;91(3):938-40. doi: 10.1016/j.athoracsur.2010.08.052.
Exposure of the upper mediastinum and thoracic outlet can pose major surgical challenges. We report our application of a previously described mini-trapdoor incision to a variety of surgical problems involving the upper mediastinum and thoracic outlet, including subclavian vein thrombosis, penetrating subclavian artery injury, debridement of subjacent chest wall infection, lymph node excision, and Pancoast tumor resection. This versatile approach provides excellent structural visualization while obviating clavicular resection or sternoclavicular joint disruption, or both.
上纵隔和胸廓出口的暴露可能会带来重大的手术挑战。我们报告了一种先前描述的迷你活瓣切口在涉及上纵隔和胸廓出口的各种手术问题中的应用，包括锁骨下静脉血栓形成、穿透性锁骨下动脉损伤、清创胸壁感染、淋巴结切除和 Pancoast 肿瘤切除。这种多功能方法提供了极好的结构可视化效果，同时避免了锁骨切除或胸锁关节破坏，或两者同时进行。
