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Open thoracotomy for pneumothorax.

Achilleas Lazopoulos1, Nikolaos Barbetakis1, George Lazaridis1

  • 11 Thoracic Surgery Department, Theagenio Cancer Hospital, Thessaloniki, Greece ; 2 Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece ; 3 Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece ; 4 Oncology Department, "BioMedicine" Private Clinic, Thessaloniki, Greece ; 5 Pulmonary-Oncology, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 6 Surgery Department (NHS), University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 7 Thoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Greece.

Journal of Thoracic Disease
|March 17, 2015
PubMed
Summary

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This summary is machine-generated.

This review details thoracotomy, a major chest incision for accessing thoracic organs like the heart and lungs. It highlights the procedure

Area of Science:

  • Thoracic Surgery
  • Surgical Procedures
  • Anatomy

Background:

  • A thoracotomy is a critical surgical incision into the chest's pleural space.
  • It provides access to vital thoracic organs including the heart, lungs, and esophagus.
  • This procedure is fundamental for major surgeries like lung cancer resections (lobectomy, pneumonectomy).

Purpose of the Study:

  • To present the detailed procedural steps of a thoracotomy.
  • To elucidate the significance of thoracotomy in thoracic surgery.
  • To provide a comprehensive overview of this major surgical maneuver.

Main Methods:

  • The review outlines the surgical steps involved in performing a thoracotomy.
  • It discusses the requirement for general anesthesia and mechanical ventilation.
Keywords:
Pneumothoraxsurgerythoracotomy

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  • Potential use of a rigid bronchoscope is also mentioned.

    • Main Results:

    • Thoracotomy is identified as a challenging procedure with significant postoperative pain.
    • Postoperative pain can impede effective breathing, potentially leading to complications.
    • Complications such as atelectasis and pneumonia are associated with impaired postoperative respiration.

    Conclusions:

    • Thoracotomy is an essential yet complex surgical approach.
    • Effective management of postoperative pain is crucial for patient recovery.
    • Understanding the procedural steps is vital for surgical teams.