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The Annals of Thoracic Surgery, Vol 45, 337-339, Copyright © 1988 by The Society of Thoracic Surgeons


ARTICLES

Muscle-sparing posterolateral thoracotomy

DM Bethencourt and EC Holmes
Division of Cardiothoracic Surgery, UCLA School of Medicine 90024-1782.

We have developed a technique for posterolateral thoracotomy that allows adequate exposure for most thoracic operations, yet spares both the latissimus dorsi and serratus anterior muscles. Postoperative pain is decreased, functional recovery is improved, and patients can frequently be discharged earlier from the hospital. Although the time for opening is slightly prolonged, closing time is less and the incision can easily be converted to the standard muscle-splitting approach if more room is required.


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