Underarm incision for chest surgery

Excision of peripheral pulmonary lesions or simple lung segment, lobectomy; pleural cavity disease and posterior mediastinal benign tumor resection; arterial catheter ligation. Treatment of diseases: mediastinal tumor Indication Excision of peripheral pulmonary lesions or simple lung segment, lobectomy; pleural cavity disease and posterior mediastinal benign tumor resection; arterial catheter ligation. Preoperative preparation 1. According to general nursing routine before general surgery. 2. Guide lung function training to prevent colds and prevent postoperative pulmonary complications. 3, according to the surgical site for skin preparation (1) posterior external incision: the median line of the anterior chest to the posterior spine line, including the underarm, from the horizontal line of the clavicle to the xiphoid. (2) Median incision: the posterior chest to the posterior line to the right posterior line, including bilateral underarms. (3) Three incisions of the esophagus: left neck, right chest (same posterior incision), abdomen (including umbilicus, perineum). (4) chest and abdomen combined incision: left chest (same posterior incision), left upper abdomen. 4. After the patient is sent to the operating room, prepare the monitoring instruments and routine rescue items. Surgical procedure 1. The incision starts from the anterior line of the iliac crest, and goes backwards and backwards to the posterior tibial line, reaching the level of the 8th rib, about 15cm long. 2. Cut the skin and subcutaneous tissue. Cut the anterior serratus from the pectoralis major and latissimus dorsi to the thorax and pull the muscles to the sides (Figure 1). 3. Cut the ribs from the ribbed bed into the chest (generally remove the 5th or 6th ribs) or the corresponding intercostal space into the chest (Figure 2). 4. After surgery, suture the intercostal space. After suturing the anterior serratus muscle, the pectoralis major muscle and the latissimus dorsi fascia were sutured intermittently. 5. Suture the subcutaneous tissue and skin.