Pochettino A, Bavaria J E
Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Ann Thorac Surg. 1997 Dec;64(6):1846-8. doi: 10.1016/s0003-4975(97)01007-2.
We have been using an anterior axillary muscle-sparing thoracotomy to perform single-lung transplantation in patients with chronic obstructive pulmonary disease. The incision allows excellent exposure and may lead to improved chest wall and shoulder girdle mechanics, which may allow for a faster recovery. This incision has become our preferred approach in patients with chronic obstructive pulmonary disease requiring single-lung transplantation who have not had a previous ipsilateral thoracic operation.
我们一直在使用保留腋前线肌肉的开胸手术，为慢性阻塞性肺疾病患者进行单肺移植。该切口能提供极佳的视野，可能会改善胸壁和肩胛带的力学状况，从而实现更快的恢复。对于需要进行单肺移植且此前未接受过同侧胸部手术的慢性阻塞性肺疾病患者，这种切口已成为我们的首选方法。
