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[Bilateral trans-sternal thoracotomy in the treatment of complicated bilateral pneumothorax]
W Torre1, J J Rivas de Andrés, J Torres
1Servicio de Cirugía Torácica, Hospital Juan Canalejo, La Coruña.
Insights
The "clam shell" incision, a bilateral thoracotomy, offers wide thoracic access. This surgical approach was successfully used to treat two patients with bilateral pneumothorax.
Area of Science:
- Thoracic Surgery
- Cardiovascular Surgery
- Pulmonary Medicine
Background:
- The transsternal bilateral thoracotomy, or "clam shell" incision, provides extensive access to the chest cavity.
- This surgical approach was historically significant in early cardiac surgery but was largely replaced by the median sternal approach.
- The "clam shell" incision has seen a resurgence with the advent of lung transplantation.
Abstract:
Transsternal bilateral thoracotomy ("clam shell" incision) is an approach that allows wide access to both sides of the thorax. Its use dates from the earliest period of cardiac surgery, and it fell into disuse in the face of the advantages of a mid-level sternal approach. The "clam shell" incision was revived, however, with the introduction of lung transplantation. We describe 2 cases of bilateral pneumothorax treated by this surgical route.