2012年3月13日 · The clamshell incision is shaped like a curved ‘W”, and is typically performed in the anatomic skin / rib groove below the breasts. The surgeon then dissects through the tissue, and intercostal muscles to enter the pleural space bilaterally.

2019年1月21日 · The aim of this post is to give an account of the steps involved in performing a resuscitative clamshell thoracotomy for chest trauma. I will highlight some of the relevant technical as well as a few non-technical pitfalls. Please refer to my previous post on the indications for a clamshell incision.

2019年4月18日 · The clamshell thoracotomy involves an incision extending across the entire anterior chest (mirroring the one made for the usual left anterolateral thoracotomy). After incising through the subcutaneous tissues, intercostal muscles, and sternum, the chest wall is lifted up (like opening a clamshell) allowing exposure to the intrathoracic organs ...

2006年1月1日 · In this video tutorial, transverse sternotomy with bilateral thoracotomy and combined approaches are discussed. Surgical techniques, indications and pitfalls of these incisions are described.

This study assesses the accessibility of intrathoracic structures provided by six different ET incisions. We hypothesize that the bilateral anterior thoracotomy ("clamshell" incision) provides the most rapid and definitive accessibility to intrathoracic structures.

2020年8月10日 · Clamshell incision. The clamshell incision may also be known as a bilateral anterolateral thoracotomy or a transverse sternotomy. It is a curvilinear ‘W’ shape that extends across the anterior chest from the mid-axillary line on …

A clamshell thoracotomy combines part of a thoracotomy and a sternotomy. It's used in certain cases where your surgeon needs to see better in the front of your chest as well as the side of your chest.

Transverse thoracosternotomy, or ‘clamshell’ incision, has been regarded as the incision of choice for bilateral lung transplantation (LTx) for the past decade. However, the clamshell incision can result in significant morbidity including sternal wound dehiscence, sternal instability, wound infection and pain.