By David Sugarbaker, Raphael Bueno, Yolanda Colson, Michael Jaklitsch, Mark Krasna, Steven Mentzer
Like its award-winning predecessor, the second one version of Adult Chest Surgery specializes in supplying concise descriptions of present innovations and surgical rules for the most typical thoracic surgical difficulties encountered within the hospital and the working room. This variation is more suitable via forty new chapters dedicated to a variety of issues together with new endoscopic recommendations for antireflux surgical procedure; percutaneous thoracic tumor ablation; peroral esophageal myotomy; robot thoughts for lobectomy, esophagectomy, and thymectomy; and different new minimally invasive ways to plain thoracic resections. it's also enriched by means of greater than 250 new specified illustrations of tactics, bringing the full quantity to 850.
Adult Chest Surgery incorporates a logical association in accordance with anatomy, and every part has an outline bankruptcy, which summarizes the proper anatomy, pathophysiology, and diagnostic and procedural suggestions. all through, operations and diagnostic approaches are highlighted in succinct, illustrated process chapters.
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Figure 2-2. Posterolateral thoracotomy divides the latissimus dorsi muscle and rotates the serratus anterior muscle forward. The incision appears centered on the greater fissure of the lung, providing access to the pulmonary artery at the base of the fissure. indd 5 the external intercostal fibers. For maximal spread of the ribs, it is important to take down these attachments as far forward as the costochondral junction and as far posterior as the transverse processes of the vertebral body. Both these landmarks can be palpated by a finger passed just superficial to the intercostal muscle layer.
The bone fragments are reapproximated with no. 5 surgical steel wires. Most commonly, two simple wires are placed in the manubrium. Advantages A partial sternotomy provides nearly the same visualization of the upper anterior mediastinum. Since the angle of Louis corresponds with the carina, any structure in the anterior or middle mediastinal compartment above the level of the carina can be easily approached with this incision. The extension into the neck with a hockey stick incision or a transverse collar incision allows proximal and distal control of the subclavian and carotid arteries, aortic arch, and internal jugular, subclavian, innominate, and brachiocephalic veins.
5 surgical steel wires. Most commonly, two simple wires are placed in the manubrium. Advantages A partial sternotomy provides nearly the same visualization of the upper anterior mediastinum. Since the angle of Louis corresponds with the carina, any structure in the anterior or middle mediastinal compartment above the level of the carina can be easily approached with this incision. The extension into the neck with a hockey stick incision or a transverse collar incision allows proximal and distal control of the subclavian and carotid arteries, aortic arch, and internal jugular, subclavian, innominate, and brachiocephalic veins.