Clinical application of muscle-sparing subaxillary vertical small incision in thoracotomy surgery

Objective To assess the clinical value of muscle-sparing subaxillary vertical small incision in thoracotomy. Methods Clinical data of 81 patients with thoracotomy treated in the People's Hospital of Huaibei City from March 2011 to May 2013 were retrospectively analyzed. The patients were divided into subaxillary vertical small incision grourp (44 patients) and conventional surgery group(37 patients)according to the surgerytype. Incision length, operative time, blood loss, the incidence of postoperation pull out the chest tube, get out of bed time, length of stay, the dosage of analgesic and postoperative complications of postoperative patient were compared. The data were analyzed using t test and χ2 test. Results The patients were successfully comperformed surgery. MSVI group of patients with incision length(10.64±1.43)cm, postoperative bed stay (1.14±0.47)d, hospitalizational days(9.16±1.89)d and the dosage of tramadol(160.23±45.21)mg were obviously shorter than conventional posterolateral thoracotomy with(21.95±2.50)cm, (2.36±0.71)d, (12.22±1.90)d and (274.32±66.27)mg, respectively(all P values 0.05). Conclusions MSVI thoracotomy can reduce the damage of thoracotomy , postoperative pain, and can speed up postoperative recovery of patients, it is safe and feasible. Key words: Thoracic surgical procedures; Thoracic neoplasms; Thoracic diseases; Subaxillary vertical small incision; Muscle-sparing thoracotomy