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Ann Thorac Surg 1993;56:752-754
© 1993 The Society of Thoracic Surgeons

Articles

Alternative (muscle-sparing) incisions in thoracic surgery

Robert J. Ginsberg, MD*

Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center and Cornell University Medical College, New York, New York USA

* Address reprint requests to Dr Ginsberg, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021.

The technique, advantages, and disadvantages of a vertical axillary thoracotomy are discussed. This is a total muscle-sparing incision that allows adequate exposure of all intrathoracic structures. Postoperatively, there is excellent cosmetic healing and full shoulder girdle movement. The postthoracotomy pain also appears to be less. I prefer this approach for most routine thoracotomies, although I do not use it when chest wall resections or extremely difficult hilar dissections are anticipated.




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