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Ann Thorac Surg 1997;64:1846-1848
© 1997 The Society of Thoracic Surgeons

How To Do It

Anterior Axillary Muscle-Sparing Thoracotomy for Lung Transplantation

Alberto Pochettino, MD, Joseph E. Bavaria, MD

Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania

Accepted for publication June 30, 1997.

We have been using an anterior axillary muscle-sparing thoracotomy to perform single-lung transplantation in patients with chronic obstructive pulmonary disease. The incision allows excellent exposure and may lead to improved chest wall and shoulder girdle mechanics, which may allow for a faster recovery. This incision has become our preferred approach in patients with chronic obstructive pulmonary disease requiring single-lung transplantation who have not had a previous ipsilateral thoracic operation.




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