J.Jpn. Surg. Soc.. 92(7): 862-866, 1991
Original article
TRANS-STERNAL BILATERAL THORACOTOMY FOR BILATERAL LUNG LESIONS
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Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan Masaaki Ohata, Kazumitus Omori, Mitsumasa Irako, Kazuo Kitamura, Shiro Nakamura, Koji Ogasawara, Yukiyasu Sezai |
Recently, the simultaneous bilateral thoracotomy has been used for bilateral lung lesions such as bilateral giant bullae, bilateral pneumothoraces and bilateral metastatic lung tumors.
Since 1965 we have performed 6 opeartions using trans-sternal bilateral thoracotomy for several bilateral lung lesions. The diseases which led to the use of the trans-sternal bilateral thoracotomy technique were 2 cases of biletral simultaneous pneumothoraces and 4 cases of bilateral lung metastatic tumors. The ages of the patients ranged from 17 to 45 years old. The operative blood loss was between 100 and 810gm.
No case showed postoperative respiratory distress or severe thoracic pain.
It would like to be pointed out that the trans-sternal bilateral thoracotomy is the most ideal approach for the multiple bilateral lung metastatic lesions which offen invade the chest wall or diaphragm.
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