Open Thoracotomy Approach for Hyperthermic Intrathoracic Chemotherapy: How I Do It

Open thoracotomy remains a fundamental approach for hyperthermic intrathoracic chemotherapy (HITHOC), particularly in patients with extensive pleural disease or complex anatomical challenges. This article explores the step-by-step technique for performing HITHOC via open thoracotomy, highlighting patient selection criteria, procedural nuances, and postoperative management. While associated with greater invasiveness and prolonged recovery, open thoracotomy provides unmatched access and control, ensuring optimal cytoreduction and effective chemotherapy distribution.