Tuesday, 20 August 2013

For your information... Thoracic surgery incisions

The main ways to access the thorax:

Median Sternotomy
- allow access to mediastinum


Posterolateral thoracotomy
- most common
- allows access to lung, pericardium and lung, and the aorto-pulmonary window

Anterolateral thoracotomy
- follows the 5th intercostal space to the sternal edge


Clamshell (Bilateral anterior thoracotomy)
- below each nipple connecting at xiphisternum


Mediastinoscopy
- 2 FB above sternal notch
- allows viewing of subcarinal LN for disease staging and progression


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