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Ann Thorac Surg 1988;46:250-253
© 1988 The Society of Thoracic Surgeons

Articles

The Left Thoracoabdominal Incision

Richard F. Heitmiller, M.D.*

From the Department of Thoracic Surgery, The Johns Hopkins Hospital, Baltimore, MD

* Address reprint requests to Dr. Heitmiller, Osler 624, The Johns Hopkins Hospital, Baltimore, MD 21205.

The left thoracoabdominal incision is approaching its first century of use. Its history is reviewed. The incision provides wide exposure of the spleen, stomach, left hemidiaphragm, aorta, and esophagus; exposure is not limited to the distal esophagus.

Because of the superb exposure it offers, its wide clinical application, and its overall safety, the thoracoabdominal incision should continue to be a viable surgical option in current thoracic surgical practice.




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