Approaches to the thoracic cavities

Luca Bertolaccini, Alessandro Pardolesi


In the past, posterolateral thoracotomy was utilized as the usual incision for pediatric patients. Nevertheless, in children, most thoracotomic operations could be performed through a muscle sparing lateral thoracotomy. The video-assisted thoracic surgery (VATS) is progressively more used since most procedures can be tailored to VATS. On the contrary, median sternotomy has a partial role and consent the access to both lungs and mediastinal structures.