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The Annals of Thoracic Surgery, Vol 56, 752-754, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Alternative (muscle-sparing) incisions in thoracic surgery

RJ Ginsberg
Department of Surgery, Memorial Sloan-Kettering Cancer Center, 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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