Claeys D, Flamme A, Vanoverbeke H, Muysoms F
Department of General Surgery, AZ Maria Middelares, Ghent, Belgium.
Acta Chir Belg. 1995 Jan-Feb;95(1):27-30.
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.
回顾了连续75例经腋后线胸廓切开术切口的胸廓切开术。有限入路是一种肌间隙切开切口，保留背阔肌和胸大肌，并劈开前锯肌。文中给出了手术技术的详细描述，并对发病率和死亡率进行了回顾。我们得出结论，腋后线切口是标准后外侧入路的良好替代方法，因为它提供了极佳的视野，允许进行所有肺部手术，且术后不适最小。
