thoracotomy
Surgical incision through the chest wall to access thoracic structures, alternative to median sternotomy for cardiac procedures.
Full Definition
Thoracotomy is a surgical approach that involves making an incision through the chest wall between the ribs (intercostal space) to gain access to thoracic organs including the heart, lungs, and great vessels. In cardiovascular surgery, thoracotomy approaches include anterolateral, posterolateral, and mini-thoracotomy incisions. This technique is often employed for minimally invasive cardiac procedures, repeat cardiac surgery, or when specific anatomical considerations make median sternotomy less favorable. The approach may result in less postoperative pain and faster recovery compared to full sternotomy but provides more limited exposure.
Usage
Usage note: Specify the location and approach (anterolateral, posterolateral, mini) when documenting.
In Context
- "A right anterolateral thoracotomy was performed for minimally invasive mitral valve repair." — Operative technique description
- "The patient underwent left posterolateral thoracotomy for descending aortic aneurysm repair." — Surgical procedure note