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Journal Information
Vol. 32. Issue 7.
Pages 366-368 (August - September 1996)
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Vol. 32. Issue 7.
Pages 366-368 (August - September 1996)
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Toracotomía bilateral transesternal en el tratamiento del neumotórax bilateral complicado
Transsternal bilateral thoracotomy for complicated bilateral pneumothorax
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W. Torre*, J.J. Rivas de Andrés, J. Torres, F. Sobrido
Servicio de Cirugía Torácica. Hospital Juan Canalejo. La Coruña
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Article information

La toracotomía bilateral transesternal (incisión clamshell) es una vía de abordaje que permite una amplia exposición de ambos hemitórax.

Su utilización data de los tiempos iniciales de la cirugía cardíaca, si bien terminó cayendo en desuso ante las ventajas de la esternotomía media.

Con motivo de la cirugía de trasplante pulmonar se ha producido una revitalización en su empleo. Aportamos a continuación 2 casos de neumotorax bilateral abordados quirúrgicamente por esta vía.

Palabras clave:
Incisión clamshell
Neumotórax bilateral
Toracotomía bilateral transesternal

Transsternal bilateral thoracotomy (“clam shell” incision) is an approach that allows wide access to both sides of the thorax. Its use dates from the earliest period of cardiac surgery, and it fell into disuse in the face of the advantages of a mid-level sternal approach. The “clam shell” incision was revived, however, with the introduction of lung transplantation. We describe 2 cases of bilateral pneumothorax treated by this surgical route.

Key words:
Incision, “clam shell”
Bilateral pneumothorax
Transsternal bilateral thoracotomy
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Bibliografía
[1.]
J.D. Cooper.
The evolution of techniques and indications for lung transplantation.
Ann Surg, 212 (1990), pp. 249-256
[2.]
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Bilateral simultaneous pleurodesis by median sternotomy for spontaneous pneumotorax.
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[4.]
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Transternal thoracotomy for bilateral pulmonary metastasis.
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[5.]
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Thymomas. Seminars Thorac Cardiovasc Surg, 4 (1992), pp. 39-44
[6.]
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Bilateral anterior thoracotomy for automatic implantable cardioverter defibrilator placement in patients with previous sternotomy.
Ann Thorac Surg, 54 (1992), pp. 791-793
[7.]
M.S. Bains, R.J. Ginsberg, W.G. Jones, et al.
The clamshell incision: an improved approach to bilateral pulmonary and mediastinal tumor.
Ann Thorac Surg, 58 (1994), pp. 30-33
Copyright © 1996. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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