Thoracotomy


Also found in: Dictionary, Thesaurus, Medical, Wikipedia.

Thoracotomy

 

surgical incision of the wall of the chest. It is performed to treat diseases of or injury to the organs of the thorax, or for drainage of exudates. Thoracotomy is sometimes used in operations on organs of the upper abdomen, particularly the cardiac portion of the stomach. Depending on the site of the organ to be operated on and the disease, thoracotomy may be anterior, posterior, lateral, anterolateral, or posterolateral; other types of thoracotomy include pleurotomy, mediastinotomy, and pericardiotomy and their combinations. Thoracotomy is performed under general anesthesia, most commonly intratracheal, in combination with relaxants and controlled respiration.

Mentioned in ?
References in periodicals archive ?
However, it has been reported that the new PTX-3 biomarker was significantly increased in inflammation due to lung cancer, and in inflammatory diseases.16-19 In our study, posterolateral thoracotomy was performed in 11 patients due to lung cancer, intrapericardial pneumonectomy in two patients, sleeve lobectomy in one patient, bilobectomy in one patient, and lobectomy in seven patients; lymph node dissection was performed in all patients.
In the absence of thoracotomy, the surgical procedure is relatively easy and fast while at the same time the experimental setup allows for extensive hemodynamic monitoring, tissue biopsies, and biochemical measurements.
Surgery is performed either through anterior cervical collar incision, through median sternotomy or right thoracotomy. When trachea is opened, the oral tube is pulled proximally but still in trachea and usually, a sterile armored cuffed endotracheal tube is placed under vision across surgical field by the surgeon to the distal airway for the period of segmental resection followed by reintroduction of the native orotracheal tube under vision for the primary end-to-end anastomotic reconstruction.
* IRPC30 group (n = 10): Left thoracotomy, IR period and PC + morphine sulfate (30 [micro]mol).
If a patient has other cardiothoracic injuries, thoracotomy with extended exploration might be necessary to check bleeding.
An alternative way to practice ED thoracotomy is through self-made models that represent a more ideal setting for thoracotomy practice.
Accurate identification of US predictors for open thoracotomy vs VATS in this study is limited by small number of patients treated with VATS procedures and requires further investigation on a larger sample size.
There are several surgical options available for management of the pleural fluid in patients with empyema, including tube thoracostomy, intrapleural instillation of fibrinolytics, thoracoscopy with breakdown of adhesions or decortication, thoracotomy with breakdown of adhesions and decortication, and open drainage procedures [3].
report one intercostal bleeding needing electrocoagulation and one intrathoracic bleeding needing thoracotomy [20].
All patients were initially managed with tube thoracotomy. Emergency Thoracotomy was performed in four hundred five out of ten thousand two hundred sixteen cases (3.96%) fire arm injury cases, 172/549 (31.32%) in Bomb blast injuries and 16/72 (22.22%) in drone injuries.
The various surgical approaches to mediastinal masses include mediastinoscopy, Video-assisted Thoracoscopic Surgery (VATS), anterior thoracotomy, median sternotomy, and standard posterolateral thoracotomy.