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Ann Thorac Surg 1976;22:254-259
© 1976 The Society of Thoracic Surgeons

Articles

Transaxillary Minithoracotomy

The Optimal Approach for Certain Pulmonary and Mediastinal Lesions

Ronald M. Becker, M.D., Darrell D. Munro, M.D.*

Department of Surgery, Montreal Chest Hospital Centre and McGill University, Montreal, Que, Canada

* Address reprint requests to Dr. Munro, Montreal Chest Hospital Centre, 3650 St Urbain St, Montreal, Que, Canada H2x 2P4.

This report concerns the use of trans-axillary thoracotomy for a variety of pulmonary, pleural, and mediastinal conditions in 50 patients. Primary and metastatic carcinomas, pneumothoraces, and benign lesions such as bronchogenic cysts and neurogenic tumors can be identified, evaluated, and treated with confidence. Reduced postoperative pain and morbidity, rapid return of arm and shoulder movements, reduced hospital stay, and excellent cosmetic result are among the advantages of this approach when compared with the usual posterolateral thoracotomy.




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