Matthew J. Schuchert, MD, André P

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Presentation transcript:

Extended Chamberlain Minithoracotomy: A Safe and Versatile Approach for Difficult Lung Resections Matthew J. Schuchert, MD, André P. Souza, MD, Ghulam Abbas, MD, Arjun Pennathur, MD, Katie S. Nason, MD, MPH, Robert Jack, BS, Zachary D. Horne, BS, James R. Landreneau, BS, Marco Santana, MD, David O. Wilson, MD, James D. Luketich, MD, Rodney J. Landreneau, MD The Annals of Thoracic Surgery Volume 93, Issue 5, Pages 1641-1646 (May 2012) DOI: 10.1016/j.athoracsur.2011.11.010 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A right anterior thoracotomy performed at the level of the second intercostal space. The Annals of Thoracic Surgery 2012 93, 1641-1646DOI: (10.1016/j.athoracsur.2011.11.010) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Right anterior thoracotomy provides direct access to the pulmonary hilum.(B) Enhanced hilar exposure allows safe and expeditious dissection of hilar structures. In this image, an enlarged hilar lymph node wedged between the right superior pulmonary vein and the anteroapical trunk of the right pulmonary artery is dissected.(RUL = right upper lobe.) The Annals of Thoracic Surgery 2012 93, 1641-1646DOI: (10.1016/j.athoracsur.2011.11.010) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Chest wall reconstruction with nonabsorbable patch.(B) Final wound closure with chest tube in position. The Annals of Thoracic Surgery 2012 93, 1641-1646DOI: (10.1016/j.athoracsur.2011.11.010) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Recurrence-free survival after anterior thoracotomy stratified by the operation performed. No significant differences were noted when comparing procedures(p > 0.47). (B) Recurrence-free survival stratified by pathologic stage. The Annals of Thoracic Surgery 2012 93, 1641-1646DOI: (10.1016/j.athoracsur.2011.11.010) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions