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[Trans-sternal bilateral thoracotomy for bilateral lung lesions]
1Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|July 1, 1991
Summary
Trans-sternal bilateral thoracotomy is an effective surgical approach for bilateral lung conditions, including metastatic tumors. This technique demonstrated minimal postoperative complications in a study of six patients.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Surgical Oncology
Context:
- The median sternotomy has been the standard for open heart surgery since the 1960s.
- Simultaneous bilateral thoracotomy is increasingly used for bilateral lung pathologies.
Purpose:
- To evaluate the efficacy and safety of trans-sternal bilateral thoracotomy for bilateral lung lesions.
- To assess its suitability for complex cases like bilateral metastatic lung tumors.
Summary:
- Six patients (ages 17-45) underwent trans-sternal bilateral thoracotomy for bilateral pneumothoraces (2 cases) and bilateral lung metastases (4 cases).
- Operative blood loss ranged from 100 to 810 gm.
- No patients experienced postoperative respiratory distress or severe thoracic pain.
Impact:
- Trans-sternal bilateral thoracotomy is identified as an ideal approach for multiple bilateral lung metastases, especially those invading the chest wall or diaphragm.
- This technique offers a viable surgical option with good patient outcomes for specific bilateral lung conditions.