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Thoracic incisions

W A Fry1

  • 1Northwestern University Medical School, Chicago, Illinois, USA.

Chest Surgery Clinics of North America
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

Thoracic surgeons utilize various chest access methods. Muscle-sparing axillary thoracotomy is frequently used, alongside evolving clamshell incisions and utility incisions for video-assisted thoracic surgery (VATS).

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Area of Science:

  • Thoracic surgery
  • Surgical incisions
  • Minimally invasive surgery

Background:

  • Chest access is crucial for thoracic procedures.
  • Various surgical approaches exist for thoracic interventions.
  • Recent trends show renewed interest in specific thoracic incisions.

Purpose of the Study:

  • To review current chest access techniques in thoracic surgery.
  • To highlight the utility of the clamshell incision and VATS utility incisions.
  • To emphasize the continued relevance of muscle-sparing axillary thoracotomy.

Main Methods:

  • Review of surgical approaches for thoracic access.
  • Discussion of evolving techniques in thoracic surgery.
  • Author's experience with different incision types.

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Main Results:

  • The clamshell incision is experiencing a resurgence.
  • Utility incisions are increasingly important for video-assisted thoracic surgery (VATS).
  • Muscle-sparing axillary thoracotomy remains a frequently used and effective approach.

Conclusions:

  • Multiple chest access strategies are available to thoracic surgeons.
  • The choice of incision depends on the specific surgical context.
  • Muscle-sparing axillary thoracotomy is a valuable and frequently employed technique.