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The Annals of Thoracic Surgery, Vol 45, 559-560, Copyright © 1988 by The Society of Thoracic Surgeons
P Massimiano, RB Ponn and AL Toole
Transaxillary thoracotomy is a well-known but underused approach to both
benign and malignant conditions in the chest. The traditional
posterolateral thoracotomy affords little advantage over this incision in
terms of staging of disease or therapeutic resection. Previous reports have
emphasized the wide range of conditions for which this approach is
suitable, but advances in the technique and design of stapling devices and
routine use of the double-lumen endotracheal tube have further enhanced its
indications. We have reviewed 54 consecutive patients who have undergone
transaxillary thoracotomy over a 2 1/2-year period. The wide range of
procedures performed up to and including pneumonectomy indicates the
versatility of the approach. We now consider transaxillary thoracotomy to
be the incision of choice for most pulmonary and mediastinal lesions and an
attractive alternative to mediastinoscopy for the identification and
staging of chest tumors.
ARTICLES
Transaxillary thoracotomy revisited
Department of Surgery, Yale University School of Medicine, New Haven, CT.
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