Tsubota N
Department of Thoracic Surgery, Hyogo Medical Center, Akashi, Japan.
Kyobu Geka. 1996 May;49(5):364-6.
Panpleuropneumonectomy, resection of a huge tumor in the thorax or operation of thoracic aneurysm requires good view of the entire thorax. Two separate incisions of lateral thoracotomy would not usually provide a sufficient operative field. The procedure of rib cross thoracotomy is as follows: The 6th, 7th, 8th, 9th rib with the intercostal muscle and vessels are cut at mid axillary line and removed 1 cm length at each edge of the ribs. The posterior half of the 6th ribs is removed. Thorax is entered posterioly at the 5th intercostal space and caudally to the 9th rib at the axillary line and anteriorly at the same intercostal space. Two rib expanders are needed.
全胸膜肺切除术、切除胸腔内巨大肿瘤或胸主动脉瘤手术需要良好的全胸视野。通常，两个单独的侧胸壁切口无法提供足够的手术视野。肋骨交叉开胸手术步骤如下：在腋中线切断第6、7、8、9肋骨及其肋间肌和血管，并在肋骨两端各切除1厘米长度。切除第6肋骨的后半部分。在第5肋间间隙后侧进入胸腔，在腋中线处向下至第9肋骨，在同一肋间间隙前方进入胸腔。需要两个肋骨撑开器。
