摘要 |
FIELD: medicine, pulmonology. SUBSTANCE: one should perform paravertebral incision at the distance of 12-13 cm along medial clavicular edge at crossing trapezoid and major rhomboid muscles in their inferior parts. Subperiosteally one should remove 1st and 2nd and resect posterior-lateral parts of 3d, 4th and 5th ribs up to aterior-axillary line by removing cross-sectional vertebral processes. Extrapleurally one should mobilize apical pulmonary part by adding invagination inside cavernal wall due to applying Z-shaped gathering suture onto intercostal soft tissues. One should by-layers suture postoperative wound. EFFECT: decreased traumaticity and improved cosmetic results of operation. 3 cl, 2 ex |