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Thoracic Positioning and Incisions

  • Teresa M. Bean
Chapter

Abstract

This chapter reviews major categories of positions and incisions for thoracic surgery. Specific procedures (see Section IV) and ­surgeons’ preferences may dictate minor variants. Understanding of surgical positions and incisions helps to avoid complications, improve surgical exposure, and anticipate events.

Keywords

Lateral decubitus position Standard supine postioning Semisupine position Lithotomy position Thoracosternotomy position Posterolateral thoracotomy Video-assisted thoracoscopic surgery Axillary thoracotomies Anterior thoracotomy Transverse thoracosternotomy Thoracoabdominal incision Median sternotomy 

Further Suggested Reading

  1. Fry WA. Thoracic incisions. In: Shields TW, LoCicero III J, Ponn RB, editors. General thoracic surgery. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2000. p. 367–74.Google Scholar
  2. Martin LW, Krasna M. Pancoast’s syndrome: anterior approach to Pancoast tumor (chapter 68). In: Sugarbaker DJ, Krasna MJ, Mentzer SJ, Zellos L, editors. Adult Chest Surgery. New York: McGraw-Hill; 2009. p. 584–93.Google Scholar
  3. McRae KM, Bussieres JS, Campos JH, Slinger PD. Anesthesia for general thoracic surgery. In: Patterson GA, Cooper JD, Deslauriers J, Lerut AEMR, Luketich JD, Rice TW, editors. Pearson’s thoracic & esophageal surgery. 3rd ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2008. p. 119–35.Google Scholar
  4. Murthy SC. Thoracic incisions. In: Patterson GA, Cooper JD, Deslauriers J, Lerut AEMR, Luketich JD, Rice TW, editors. Pearson’s thoracic & esophageal surgery. 3rd ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2008. p. 39–67.Google Scholar
  5. Warner MA, Martin JT. Patient positioning. In: Barash PG, Cullen BF, Stoelting RK, editors. Clinical anesthesia. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2001. p. 639–65.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Teresa M. Bean
    • 1
  1. 1.Cardiothoracic Anaesthesiologist Department of Anaesthesiology, Perioperative and Pain MedicineBrigham and Women’s HospitalBostonUSA

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