Vertical axillary thoracotomy: a functional and cosmetically appealing incision

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Surgical Anatomy

Background:

• Traditional thoracotomy approaches (posterolateral, anterolateral) can cause significant chest wall trauma and functional deficits.
• There is a need for surgical techniques that balance adequate intrathoracic access with reduced patient morbidity.
• Cosmetic outcomes are increasingly important considerations in surgical patient selection.

Purpose of the Study:

• To present the surgical technique of vertical axillary thoracotomy.
• To highlight the advantages of this approach regarding trauma and functional preservation.
• To define the specific indications for vertical axillary thoracotomy.

Main Methods:

• Detailed description of the vertical axillary thoracotomy surgical steps.
• Emphasis on anatomical landmarks and incision placement.
• Discussion of patient positioning and instrument utilization.

Main Results:

• Vertical axillary thoracotomy achieves minimal trauma to the chest wall.
• Maximum preservation of chest wall function is a key outcome.
• A cosmetically acceptable scar is consistently produced.

Conclusions:

• Vertical axillary thoracotomy is a valuable minimally invasive surgical option.
• It is indicated for procedures not requiring extensive intrathoracic exposure.
• This technique offers significant benefits in terms of patient recovery and aesthetics.