| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1986;41:130-134
© 1986 The Society of Thoracic Surgeons
Department of Thoracic and Cardiovascular Surgery, Baylor University Medical Center, Dallas, TX
* Address reprint requests to Dr. Urschel, 1201 Barnett Tower, 3600 Gaston Ave, Dallas, TX 75246
Pulmonary resection was performed electively through a median sternotomy in 174 patients. The first 61 of these patients were compared with an equal number having pulmonary resection through a lateral thoracotomy. Both groups were similar in regard to sex, age, pathological condition, and type of resection. The patients undergoing median sternotomy had a shorter operative time and less postoperative pain, and were discharged from the hospital sooner than the patients having resection through a lateral thoracotomy. The cardinal technical essentials to expeditious pulmonary resection through a median sternotomy involve unilateral pulmonary ventilation with a double-lumen endotracheal tube, arterial pressure and gas monitoring, and proper lung packing and retraction. Two patients died, 1 of infection and 1 of bleeding; neither death was related to the incision. Certain pulmonary procedures are better performed through a lateral thoracotomy, and these include resection of a superior sulcus carcinoma, pulmonary resection with posterior chest wall extension, and left lower lobe resection in patients who demonstrate obesity, cardiomegaly, or an elevated diaphragm.
This article has been cited by other articles:
|
|
 |
|
  H. Igai and H. Yokomise Intrapericardial approach via median sternotomy for hilar non-small cell lung cancer invading the main pulmonary artery Interact CardioVasc Thorac Surg, October 1, 2010; 11(4): 385 - 386. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. F. Heitmiller, J. M. Radecke, and C. J. You Resection of Apical Lung Tumors in High-Risk Patients Using Partial Sternotomy Ann. Thorac. Surg., February 1, 2008; 85(2): 678 - 680. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G. Edwards, A. E. Martin-Ucar, D. J. Stewart, and D. A. Waller Right extrapleural pneumonectomy for malignant mesothelioma via median sternotomy or thoracotomy? Short- and long-term results Eur J Cardiothorac Surg, May 1, 2007; 31(5): 759 - 764. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Durrleman and G. Massard Sternotomy MMCTS, January 1, 2006; 2006(0810): mmcts.2006.001875 - mmcts.2006.001875. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Martin-Ucar, D. J. Stewart, K. J. West, and D. A. Waller A Median Sternotomy Approach to Right Extrapleural Pneumonectomy for Mesothelioma Ann. Thorac. Surg., September 1, 2005; 80(3): 1143 - 1145. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Saxena and R. K. W. Tam Combined off-pump coronary artery bypass surgery and pulmonary resection Ann. Thorac. Surg., August 1, 2004; 78(2): 498 - 501. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. P. Connery, J. Knoetgen III, C. E. Anagnostopoulos, and M. V. Svitak Median sternotomy for pneumonectomy in patients with pulmonary complications of tuberculosis Ann. Thorac. Surg., May 1, 2003; 75(5): 1613 - 1617. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Gama de Abreu, M. Heintz, A. Heller, R. Szechenyi, D. M. Albrecht, and T. Koch One-Lung Ventilation with High Tidal Volumes and Zero Positive End-Expiratory Pressure Is Injurious in the Isolated Rabbit Lung Model Anesth. Analg., January 1, 2003; 96(1): 220 - 228. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Patane, A. Verzini, E. Zingarelli, and M. di Summa Simultaneous operation for cardiac disease and lung cancer Interact CardioVasc Thorac Surg, December 1, 2002; 1(2): 69 - 71. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Bauer, M. Pasic, R. Ewert, and R. Hetzer Ministernotomy versus complete sternotomy for coronary bypass operations: No difference in postoperative pulmonary function J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 702 - 707. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Asaph, J. R. Handy Jr, G. L. Grunkemeier, E. C. Douville, A. C. Tsen, R. C. Rogers, and J. F. Keppel Median sternotomy versus thoracotomy to resect primary lung cancer: analysis of 815 cases Ann. Thorac. Surg., August 1, 2000; 70(2): 373 - 379. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. I. Bardoczky, L. L. Szegedi, A. A. d’Hollander, J.-M. Moures, P. de Francquen, and J.-C. Yernault Two-Lung and One-Lung Ventilation in Patients with Chronic Obstructive Pulmonary Disease: The Effects of Position and FIO2 Anesth. Analg., January 1, 2000; 90(1): 35 - 35. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. D. Danton, V. A. Anikin, K. G. McManus, J. A. McGuigan, and G. Campalani Simultaneous cardiac surgery with pulmonary resection: presentation of series and review of literature Eur J Cardiothorac Surg, June 1, 1998; 13(6): 667 - 672. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Rao, T. R. J. Todd, R. D. Weisel, M. Komeda, G. Cohen, J. S. Ikonomidis, and G. T. Christakis Results of Combined Pulmonary Resection and Cardiac Operation Ann. Thorac. Surg., August 1, 1996; 62(2): 342 - 346. [Abstract] [Full Text]
|
|
|
|
|
|
C. E. Reed Pneumonectomy for chronic infection: Fraught with danger? Ann. Thorac. Surg., February 1, 1995; 59(2): 408 - 411. [Abstract] [PDF]
|
|
|
|
|
|
D. L. Miller, T. A. Orszulak, P. C. Pairolero, V. F. Trastek, and H. V. Schaff Combined operation for lung cancer and cardiac disease Ann. Thorac. Surg., October 1, 1994; 58(4): 989 - 994. [Abstract] [PDF]
|
|
|
|
|
|
U. Pastorino, G. Muscolino, M. Valente, S. Andreani, L. Tavecchio, M. Infante, G. Terno, and G. Ravasi Safety of absorbable suture for sternal closure after pulmonary or mediastinal resection J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 596 - 599. [Abstract] [Full Text]
|
|
|
|
|
|
R. B. Ponn, A. Ferneini, R. S. D'Agostino, A. L. Toole, and H. Stern Comparison of late pulmonary function after posterolateral and muscle-sparing thoracotomy Ann. Thorac. Surg., April 1, 1992; 53(4): 675 - 679. [Abstract] [PDF]
|
|
|
|
|
|
A. J. Cohen, L. Thompson, F. H. Edwards, and R. F. Bellamy Primary cysts and tumors of the mediastinum Ann. Thorac. Surg., March 1, 1991; 51(3): 378 - 386. [Abstract] [PDF]
|
|
|
|
|
|
H. C. Urschel Jr, M. A. Razzuk, G. J. Netto, J. Disiere, and S. Y. Chung Sclerosing mediastieitis: Improved management with histoplasmosis titer and ketoconazole Ann. Thorac. Surg., August 1, 1990; 50(2): 215 - 221. [Abstract] [PDF]
|
|
|
|
|
|
D. B. Skinner Technical and scientific advances in general thoracic surgery Ann. Thorac. Surg., January 1, 1990; 49(1): 14 - 25. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
