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Ann Thorac Surg 1978;26:413-420
© 1978 The Society of Thoracic Surgeons
Department of Surgery, University of Toronto, and the Division of Thoracic Surgery, Toronto General Hospital, Toronto, Ontario, Canada
* Address reprint requests to Dr. Cooper, 1–131 University Wing, Toronto General Hospital, Toronto, Ontario M5G 1L7, Canada.
We have employed median sternotomy in 9 patients for resection of both benign and malignant lung lesions. The most frequent use of this approach was for bilateral wedge resection, though unilateral resection was done in 2 patients. Our experience supports the previously documented usefulness of median sternotomy for minor bilateral resections and suggests that more complex pulmonary resections are possible when an appropriate indication exists.
We compared the effects of median sternotomy with those of lateral thoracotomy on postoperative vital capacity and peak airway flow. Both incisions result in a marked loss of measured lung function, but recovery occurs notably sooner after median sternotomy than after lateral thoracotomy.
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