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تعريف

A thoracotomy is a surgery to open the chest wall. The surgery allows access to the lungs, throat, aorta, heart, and diaphragm. Depending on the disease location, a thoracotomy may be done on the right or left side of the chest. Sometimes, a small thoracotomy can be done in the front part of the chest.

أسباب هذا الإجراء

A thoracotomy may be done to:

• Confirm diagnosis of a lung or chest disease
• Repair the heart or the vessels of the lung and heart
• Treat windpipe disorders
• Remove a portion of the lung or the entire lung
• Treat throat disorders
• Reinflate lung tissue that has collapsed due to disease or trauma
• Remove pus from the chest
• Remove blood clots from the chest

المضاعفات المحتملة

If you are planning to have a thoracotomy, your doctor will review a list of possible complications, which may include:

• نزيف
• العدوى
• Damage to the organs in the chest
• رد فعل للتخدير
• Collection of air or gases in the chest
• Persistent pain—rare

تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:

• Major trauma involving multiple body parts
• عمر
• Heavy smoker
• Previous stroke or heart attack
• Prior radiation therapy
• Chronic medical problems

ما يمكن توقعه

Leading up to surgery:

• Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure such as:
  • الأسبرين أو غيره من العقاقير المضادة للالتهابات
  • مميعات الدم
• You may be asked to use an enema to clear your digestive system.
• Do not eat or drink anything after midnight.
• To minimize complications, stop smoking at least 2-3 weeks before surgery.