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Axillary thoracotomy.

W A Fry1, T J Kehoe, J P McGee

  • 1Section of Thoracic Surgery, and Evanston Hospital, Northwestern University Medical School, Illinois.

The American Surgeon
|August 1, 1990
PubMed
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Axillary thoracotomy is the preferred surgical incision for most thoracic procedures, offering speed and minimal muscle damage. This approach, using a double lumen endotracheal tube, allows for safe lung resections with low complication rates.

Area of Science:

  • Thoracic Surgery
  • Surgical Incisions
  • Minimally Invasive Procedures

Background:

  • Traditional posterolateral thoracotomy presents challenges for certain thoracic procedures.
  • The need for less invasive surgical options in general thoracic surgery is growing.
  • Axillary thoracotomy offers a potentially advantageous alternative for specific patient groups.

Purpose of the Study:

  • To evaluate the efficacy and safety of axillary thoracotomy as the primary surgical incision.
  • To compare the outcomes of axillary thoracotomy with traditional methods for thoracic procedures.
  • To determine the suitability of axillary thoracotomy for high-risk surgical patients.

Main Methods:

  • A consecutive series of 100 elective axillary thoracotomies were performed.

Related Experiment Videos

  • Double lumen endotracheal intubation was utilized to facilitate lung isolation and resection.
  • Patient outcomes, including morbidity and mortality, were meticulously recorded.

    • Main Results:

    • Axillary thoracotomy was successfully employed in all 100 cases with minimal morbidity.
    • Only one mortality was recorded in the series, indicating a favorable safety profile.
    • The technique proved effective for segmental resection and lobectomy, even in 25 high-risk patients.

    Conclusions:

    • Axillary thoracotomy is a safe and effective incision for most uncomplicated general thoracic surgery.
    • This approach minimizes muscle trauma and allows for complex lung resections.
    • Posterolateral thoracotomy remains indicated for specific complex cases like repeat surgeries or advanced tumors.