The effect of muscle-sparing versus standard posterolateral thoracotomy on pulmonary function, muscle strength, and postoperative pain

Hazelrigg, Stephen R.; Landreneau, Rodney J.; Boley, Theresa M.; Priesmeyer, Marydeth L.; Schmaltz, Richard A.; Nawarawong, Weerachai; Johnson, Joel A.; Walls, Joseph T.; Curtis, Jennifer

doi:10.1016/s0022-5223(19)36721-2

Cited by 248 publications

(40 citation statements)

References 9 publications

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“…The postoperative fentanyl requirement was higher in the IC group, but it did not reach statistical significance, although in the EDA group there were two patients who did not need fentanyl at all. The need for systemic opioid in both groups can be explained with the position of the patients during the operation, damage to the latissimus dorsi muscle (16), wide rib retraction each one of these leading to shoulder pain that cannot be prevented either by EDA or IC blocks. This is in accord with recent reviews suggesting multimodal pain management with the use of synergistic drugs (9).…”

Section: Discussionmentioning

confidence: 99%

Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double‐blind clinical trial

Debreceni

Molnár²,

Szélig³

et al. 2003

Acta Anaesthesiol Scand

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Section: Discussionmentioning

confidence: 99%

Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double‐blind clinical trial

Debreceni

Molnár²,

Szélig³

et al. 2003

Acta Anaesthesiol Scand

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“…A rib for grafting would not be available with such incisions, and exposure might be too restrictive for current hardware. 28 Excised ribs are frequently used as morcellized or strut grafts. 8,17 Vascularized rib grafts have the theoretical advantages of reliable viability and rapid fusion.…”

Section: Thoracic Openmentioning

confidence: 99%

Methods and Complications of Anterior Exposure of the Thoracic and Lumbar Spine

Ikard¹

2006

Arch Surg

130

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To review the methods and complications of exposing the anterior aspects of the thoracic and lumbosacral spine. Data Sources: PubMed (journals database of the National Library of Medicine), text books, the University HealthSystem Consortium Clinical Process Improvement Benchmarking Project, a newspaper, and the US government Healthcare Cost and Utilization Project. Study Selection: Descriptions of morbidity and mortality specifically related to anterior spine exposure depicted in both case reports and clinical series were used. Data Extraction: Mortality data from clinical series with more than 30 cases were tabulated. Morbidity incidences were described. Data Synthesis: The frequency of anterior exposure of the spine for structural operations is steadily increasing. Both thoracic and lumbosacral anterior spine operations are associated with exposure-related complication rates of 10% to 50%. Pulmonary complications are frequent after thoracic exposures. Chylothorax is the most common of several rarer chest-exposure complications. Vascular complications, particularly arterial thrombosis (Ͻ1% of cases) and venous bleeding (2%-15% of cases), are the most frequent complications at the lumbar level. Other lumbosacral exposure complications include ureteral and nerve (somatic and sympathetic) injury. The mortality rate in anterior spine exposures is less than 1%. Conclusions: The exposure portions of anterior spine operations result in numerous complications. There are fewer reported complications with endoscopic exposures of the anterior spine than with open exposures, although endoscopic exposures have been used for less complicated cases. In comparable cases, neither exposure nor results of endoscopic operations have proven better than operations done through minilaparotomy incisions. Perioperative cooperation between exposing and spine surgeons is necessary to enhance results in anterior spine operations.

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“…2001; Radlinsky et al. 2002) and to decrease the morbidity associated with thoracotomy (Hazelrigg et al. 1991; Landreneau et al.…”

Section: Introductionmentioning

confidence: 99%

Cardiopulmonary effects of thoracoscopy in anesthetized normal dogs

Kudnig

Monnet

Riquelme

et al. 2004

Veterinary Anaesthesia and Analgesia

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The effect of muscle-sparing versus standard posterolateral thoracotomy on pulmonary function, muscle strength, and postoperative pain

Cited by 248 publications

References 9 publications

Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double‐blind clinical trial

Continuous epidural or intercostal analgesia following thoracotomy: a prospective randomized double‐blind clinical trial

Methods and Complications of Anterior Exposure of the Thoracic and Lumbar Spine

Cardiopulmonary effects of thoracoscopy in anesthetized normal dogs

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