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不切断肌肉的后外侧开胸术：复杂手术的一种新方法。

Posterolateral thoracotomy without muscle division: a new approach to complex procedures.

作者信息

Loscertales Jesus, Congregado Miguel, Moreno Sergio, Jimenez-Merchan Rafael

机构信息

Department of General Thoracic Surgery, Virgen Macarena University Hospital, Seville, Spain.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Jan;14(1):2-4. doi: 10.1093/icvts/ivr059. Epub 2011 Nov 16.

DOI:10.1093/icvts/ivr059
PMID:22108948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420302/
Abstract

Today, there is a strong increase in video-assisted thoracic surgery; however, there are still some diseases and interventions that need a wide pleural cavity exposure (i.e. sulcus tumours and extended resections). These complex procedures are usually performed via a standard posterolateral thoracotomy, which is a good approach but has significant disadvantage due to pain and difficulty coughing. We propose a new thoracotomy that avoids a dorsal muscle division but has the same intrathoracic exposure as a posterolateral thoracotomy.

摘要

如今，电视辅助胸腔镜手术的应用大幅增加；然而，仍有一些疾病和手术需要广泛暴露胸膜腔（如肺沟瘤和扩大切除术）。这些复杂手术通常通过标准后外侧开胸术进行，这是一种不错的方法，但由于疼痛和咳嗽困难存在明显缺点。我们提出一种新的开胸术，它避免了背阔肌的分离，但在胸腔内的暴露程度与后外侧开胸术相同。

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本文引用的文献

1
Modified French window as an alternative to thoracotomy for complex intrathoracic pathology.改良法式胸廓切开术作为复杂胸内病变开胸手术的替代方法。
Ann Thorac Surg. 2009 Aug;88(2):685-7. doi: 10.1016/j.athoracsur.2008.11.068.
2
Fast-track rehabilitation for lung cancer lobectomy: a five-year experience.肺癌肺叶切除的快速康复：五年经验
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Alternative (muscle-sparing) incisions in thoracic surgery.胸外科手术中的替代（保留肌肉）切口
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Comparison of late pulmonary function after posterolateral and muscle-sparing thoracotomy.后外侧开胸术与保留肌肉开胸术后晚期肺功能的比较。
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