Abstract

GARCIA RODRIGUEZ, Miguel Emilio. Pulmonary resection and mediastinal dissection through medial sternotomy. AMC [online]. 2013, vol.17, n.1, pp. 13-18. ISSN 1025-0255.

Introduction: in spite of the fact that anterolateral thoracotomy was the first approach as an attempt to conduct a pulmonary resection for pulmonary neoplasms, posterior and posterolateral approaches rapidly became a safe option. In the 50’s, posterolateral incision was the chosen option. Recently, specialists have started to use medial sternotomy, as well as Hemiclamshell's incision (longitudinal sternotomy with thoracic prolongation) and Clamshel's incision (transverse sternotomy) and they are carried out in particular circumstances. Objectives: introduce medial sternotomy for treating lung cancer. Method: the technique of medial sternotomy as an approach to conduct a pulmonary resection for cancer and the dissection of ganglial stations 1, 2, 3, 4, 5, 6, and 7, were described. Ebsco, Medline and Cochrane were consulted to obtain references. Conclusions: medial sternotomy is a safe and useful way to conduct pulmonary resection for cancer and mediastinal dissection, which also provides a more exact pathological classification than conventional thoracotomies, because it allows the approach to the superior, aortic, and subcarinal ganglial areas in a bilateral way as appropriate.

Keywords : DISSECTION; STERNOTOMY; MEDIASTINAL NEOPLASMS [surgery]; SURGICAL PROCEDURES, OPERATIVE; LUNG NEOPLASMS.

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