Double Lung Transplantation Using Bilateral Anterior Thoracotomies with Video-Assistance: Techniques, Advantages, and Considerations
Lung transplantation remains the only curative option for patients with end-stage, medically refractory respiratory failure. Traditionally, the clamshell incision has been the primary surgical approach, as it provides extensive access to the mediastinum and bilateral pleural cavities. However, it...
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2025-07-01
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| Series: | Journal of Chest Surgery |
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| Summary: | Lung transplantation remains the only curative option for patients with end-stage, medically
refractory respiratory failure. Traditionally, the clamshell incision has been the primary
surgical approach, as it provides extensive access to the mediastinum and bilateral pleural
cavities. However, it is also associated with notable drawbacks, such as an increased risk
of sternal nonunion and wound complications, which can impede postoperative recovery.
This article introduces an alternative approach—double lung transplantation using
video-assisted bilateral anterior thoracotomy. We present a detailed step-by-step surgical
guide, offer practical tips, and highlight the advantages of this method over the conventional
clamshell incision. |
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| ISSN: | 2765-1606 2765-1614 |