Ginsberg R J
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
Ann Thorac Surg. 1993 Sep;56(3):752-4. doi: 10.1016/0003-4975(93)90972-k.
The technique, advantages, and disadvantages of a vertical axillary thoracotomy are discussed. This is a total muscle-sparing incision that allows adequate exposure of all intrathoracic structures. Postoperatively, there is excellent cosmetic healing and full shoulder girdle movement. The postthoracotomy pain also appears to be less. I prefer this approach for most routine thoracotomies, although I do not use it when chest wall resections or extremely difficult hilar dissections are anticipated.
讨论了垂直腋下开胸术的技术、优点和缺点。这是一种完全保留肌肉的切口，能充分暴露所有胸内结构。术后，切口愈合美观，肩带活动自如。开胸术后疼痛似乎也较轻。对于大多数常规开胸手术，我更喜欢这种方法，不过，若预计要进行胸壁切除或极其困难的肺门解剖时，我不会采用此方法。
