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KMID : 0364019910240101000
Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 10 p.1000 ~ p.1004
Posterior Thoracotomy under the Prone Position in Children





Abstract
Children¢¥s small airway precludes the use of standard methods of bronchial separation. So, we performed the posterior thoracotomy under the prone position in 3 cases to avoid endobronchial gravity spillage of secretion and infected debris from the diseased lung to the contralateral sound lung. The advantages of the posterior thoracotomy under the prone position was di: cussed.
In two cases, empyema with total collapse of left lung and congenital cystic adenomatoid malformation (CCAM) of right lung, copious secretion was spilled through the endotracheal tube but could be removed successfully by the endotracheal suction. In the third case of bilateral peripleural abscess, bilateral posterior thoracotmy was done without position change. All procedures were performed without any technical difficulty and complication.
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