Retropleural thoracotomy. Technical note.

Abstract:

:Herniated thoracic discs, unlike their lumbar counterparts, are difficult to read and safely resect using traditional posterior approaches. Historically, the use of a laminectomy for thoracic disc resection has yielded poor clinical outcomes. Posterolateral and anterolateral approaches have become the standard surgical means of treating these lesions. The traditional anterolateral approach, the transpleural thoracotomy, is an extensive procedure that requires direct retraction of the lung, a deep surgical field, and postoperative closed-chest drainage. An alternative to this anterior approach, the retropleural thoracotomy, is described here. This approach provides the shortest direct route to the thoracic spine and leaves the pleura intact. A smaller incision and less retraction than traditional approaches may reduce postoperative pain and pulmonary-related complications. The retropleural thoracotomy is a valuable technique for the neurosurgeon treating thoracic disc disease.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Angevin PD,McCormick PC

doi

10.3171/foc.2001.10.1.9

subject

Has Abstract

pub_date

2001-01-15 00:00:00

pages

ecp1

issue

1

issn

1092-0684

pii

1001cp1

journal_volume

10

pub_type

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