Extended indications for median sternotomy in patients requiring pulmonary resection.
Extended indications for median sternotomy in patients requiring pulmonary resection.
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需要肺切除术的患者扩大正中胸骨切开术的适应症。
DOI：
10.1016/s0003-4975(10)62919-0
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发表时间：
1978
期刊：
影响因子：
--
通讯作者：
F. Pearson
中科院分区：
文献类型：
--
作者：
J. Cooper;J. M. Nelems;F. Pearson
我们采用胸骨正中切开术切除了9例肺良恶性病变。该入路最常用于双侧楔形切除，但有2例患者进行了单侧切除。我们的经验支持了先前文献中胸骨正中切开术在小双侧切除中的有效性，并表明当有适当的指征存在时，更复杂的肺切除是可能的。我们比较了胸骨正中切开术和外侧开胸术对术后肺活量和气道峰值流量的影响。这两种切口都导致肺功能的明显丧失，但胸骨正中切开术比外侧开胸术恢复明显更快。
We have employed median sternotomy in 9 patients for resection of both benign and malignant lung lesions. The most frequent use of this approach was for bilateral wedge resection, though unilateral resection was done in 2 patients. Our experience supports the previously documented usefulness of median sternotomy for minor bilateral resections and suggests that more complex pulmonary resections are possible when an appropriate indication exists.We compared the effects of median sternotomy with those of lateral thoracotomy on postoperative vital capacity and peak airway flow. Both incisions result in a marked loss of measured lung function, but recovery occurs notably sooner after median sternotomy than after lateral thoracotomy.