on parasternal longitudinal incision on the front mediastinal tumor surgery（在胸骨旁的纵向切口前纵隔肿瘤手术）.docVIP

On parasternal longitudinal incision on the front mediastinal tumor surgery [Abstract] Objective To ensure the same surgical incision in the chest with the effect of traditional premise to explore parasternal longitudinal incision in the front on the application of mediastinal tumors. Methods January 2000 to January 2009 25 cases of anterior mediastinal tumor parasternal longitudinal design of small incision surgery, the average length of a small incision 7cm, cut off a rib cartilage surgery, the end of surgery, the cartilage was cut off with no damage 2-0 stitched polyester line, after the hold closed drainage results parasternal longitudinal incision without conversion to open its mouth, the patient recovered well without serious complications and perioperative mortality. Conclusion parasternal longitudinal incision on the chest injury, less bleeding, tightly closed thoracic drainage tube, easy care, the patient’s convenience, with fewer complications, faster recovery, shorter hospital stay, wound aesthetic advantages. [Keywords] parasternal longitudinal incision anterior mediastinal tumor With the development of cardiothoracic surgical techniques and improve security, the concept of minimally invasive surgery into the field, thoracic surgeons in the constant pursuit of surgical trauma, postoperative pain, aesthetic surgery and quick recovery of the way the traditional first foreign side of the 4th intercostal thoracotomy incision or chest bone incision is general thoracic surgery for removal of anterior mediastinal tumors most commonly used as a way into the chest, but the presence of chest injury in a large incision, postoperative pain and affect lung function and other shortcomings . thoracoscopic assisted surgery has been widely used, but the anterior mediastinal tumor and superior vena cava close to the innominate vein, the operation there is a big risk, but the high cost of surgery, we designed a small parasternal incision anterior longitudinal med