Bellamy J, Santillan D
Centre Chirurgical Val-d'Or, Saint-Cloud.
Ann Chir. 1993;47(2):174-8.
The authors present a new posterolateral thoracotomy technique, preserving the integrity of the latissimus dorsi muscle, which in split in the direction of its fibres instead of being sectioned transversely. The exposure is sufficient for all forms of lung resection and pleural surgery and the incision is easily and rapidly repaired. After describing the technique, the authors review their first 70 patients operated via this incision, which was always sufficient to allow the planned operation. Healing was satisfactory and, in the long-term, the functional and painful sequelae appeared to be less than with the classical Crafoord posterolateral thoracotomy, which could be replaced by this new incision.
作者介绍了一种新的后外侧开胸技术,该技术保留了背阔肌的完整性,背阔肌沿其纤维方向劈开而非横向切断。这种术式的暴露范围足以满足所有形式的肺切除和胸膜手术,且切口易于快速修复。在描述了该技术后,作者回顾了通过此切口进行手术的首批70例患者,该切口始终足以完成计划中的手术。愈合情况令人满意,从长期来看,与传统的克拉福德后外侧开胸术相比,功能和疼痛后遗症似乎更少,这种新切口可替代传统术式。