Vertical muscle-sparing thoracotomy

Hennington, Mark H.; Ulicny, Karl S.; Detterbeck, Frank C.

doi:10.1016/0003-4975(94)90590-8

Cited by 22 publications

(17 citation statements)

References 5 publications

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“…Our minimally invasive thoracotomy improved the postoperative clinical course significantly. We employed a method of muscle‐sparing thoracotomy under a vertical skin incision 18–20 . This was performed without costectomy, a part of the original procedure.…”

Section: Discussionmentioning

confidence: 99%

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Development of less invasive surgical procedures for thoracic esophageal cancer

Okazumi¹,

Ochiai²,

Shimada³

et al. 2004

Diseases of the Esophagus

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In order to minimize the invasiveness of the operative procedure for thoracic esophageal cancer, several procedures have been introduced since January 1997. They included: (i) perioperative use of steroids; (ii) muscle-sparing thoracotomy without costectomy; (iii) preparation of the gastric tube with preservation of sufficient blood supply; (iv) reconstruction of the alimentary tract via posterior-mediastinal route; and (v) formation of anastomosis between the remaining esophagus and the gastric tube at a location between the gastroepiploic arteries of the gastric greater curvature. Twenty-one patients who did not receive preoperative chemoradiotherapy underwent the newly developed procedure, and were compared with those receiving the original procedure. Hospital mortality was zero, and postoperative systemic inflammatory response syndrome was suppressed. The mean postoperative hospital stay was 21.5 days, and the actuarial 3-year survival rate was 76.2%. From the comparison with those receiving the original procedure, it can be concluded that the newly developed procedures were effective in minimizing surgical invasiveness and were sufficiently curative in terms of cancer treatment.

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Section: Discussionmentioning

confidence: 99%

“…We employed a method of muscle-sparing thoracotomy under a vertical skin incision. [18][19][20] This was performed without costectomy, a part of the original procedure. Avoidance of costectomy resulted in better postoperative quality of life.…”

Section: Discussionmentioning

confidence: 99%

Development of less invasive surgical procedures for thoracic esophageal cancer

Okazumi¹,

Ochiai²,

Shimada³

et al. 2004

Diseases of the Esophagus

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“…The modern-day vertical incision eliminates the need for skin flaps and prophylactic subcutaneous drain placement, and has resulted in a dramatic improvement in the incidence of postoperative seroma. 4 Special attention must be paid to the location of the initial skin incision. A more posterior incision may result in long thoracic nerve injury and necessitates greater mobilization of the latissimus dorsi muscle, contributing to both inadequate exposure and postoperative pain.…”

Section: Special Considerationsmentioning

confidence: 99%

Muscle-sparing Axillary Thoracotomy

Irons

Kucharczuk

2017

Operative Techniques in Thoracic and Cardiovascular Surgery

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The standard posterolateral thoracotomy provides excellent exposure to the chest and has traditionally been the incision of choice for major intrathoracic operations. However, this approach comes at the cost of muscle-splitting, with significant postoperative pain and impairment in function, particularly in elderly patients. Consequently, muscle-sparing approaches have been met with enthusiasm due to improvements in postoperative pain, morbidity, and cosmesis. Although concerns regarding exposure initially limited the use of this incision, advances in technology and experience have led to more widespread use of the muscle-sparing approach. Today, the musclesparing thoracotomy is the incision of choice for many surgeons, as it can be used as an adjunct to video-assisted thoracoscopic surgery and has successfully been employed in complex thoracic procedures. Operative Techniques in

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“…Morbidity continues into adulthood, with greater than 75% reporting shoulder‐height differences, 20% limited motion of the right arm and 14% asymmetry of the chest wall that may also result in breast asymmetry during development . More recent use of muscle‐splitting techniques has however resulted in improved musculoskeletal outcomes as well as better cosmetic appearance …”

Section: Respiratory Symptomsmentioning

confidence: 99%

“…4 More recent use of muscle-splitting techniques has however resulted in improved musculoskeletal outcomes as well as better cosmetic appearance. 47,48…”

Section: Respiratory Symptomsmentioning

confidence: 99%

Outcomes of oesophageal atresia and tracheo‐oesophageal fistula repair

Roberts

Karpelowsky

Fitzgerald

et al. 2016

J Paediatrics Child Health

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Oesophageal atresia and tracheo-oesophageal fistula are congenital anomalies of the oesophagus requiring surgical repair in infancy, either by open or thoracoscopic approach. Although mortality rates associated with this procedure are low, children may go on to have complications throughout childhood and into adulthood, most commonly related to ongoing gastrointestinal and respiratory symptoms. This review outlines the early, mid and long-term outcomes for these children in terms of quality of life and incidence of symptoms.

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Vertical muscle-sparing thoracotomy

Cited by 22 publications

References 5 publications

Development of less invasive surgical procedures for thoracic esophageal cancer

Development of less invasive surgical procedures for thoracic esophageal cancer

Muscle-sparing Axillary Thoracotomy

Outcomes of oesophageal atresia and tracheo‐oesophageal fistula repair

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