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1

Punjabi, Prakash P. "Thoracotomy." Surgery (Oxford) 23, no. 11 (November 2005): 414–16. http://dx.doi.org/10.1383/surg.2005.23.11.414.

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2

Moscarelli, Marco, and Prakash P. Punjabi. "Thoracotomy." Surgery (Oxford) 29, no. 5 (May 2011): 242–43. http://dx.doi.org/10.1016/j.mpsur.2011.02.008.

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3

Onsi, AhmedH, AhmedL Dokhan, AlaaA ElSesy, and MedhatR Nashy. "Vertical thoracotomy versus conventional posterolateral thoracotomy." Menoufia Medical Journal 29, no. 3 (2016): 646. http://dx.doi.org/10.4103/1110-2098.198748.

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4

Angevine, Peter D., and Paul C. McCormick. "Retropleural thoracotomy." Neurosurgical Focus 10, no. 1 (January 2001): 1–5. http://dx.doi.org/10.3171/foc.2001.10.1.9.

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Herniated thoracic discs, unlike their lumbar counterparts, are difficult to read and safely resect using traditional posterior approaches. Historically, the use of a laminectomy for thoracic disc resection has yielded poor clinical outcomes. Posterolateral and anterolateral approaches have become the standard surgical means of treating these lesions. The traditional anterolateral approach, the transpleural thoracotomy, is an extensive procedure that requires direct retraction of the lung, a deep surgical field, and postoperative closed-chest drainage. An alternative to this anterior approach, the retropleural thoracotomy, is described here. This approach provides the shortest direct route to the thoracic spine and leaves the pleura intact. A smaller incision and less retraction than traditional approaches may reduce postoperative pain and pulmonary-related complications. The retropleural thoracotomy is a valuable technique for the neurosurgeon treating thoracic disc disease.
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5

Krome, Ronald L., and Dean L. Dalbec. "Emergency Thoracotomy." Emergency Medicine Clinics of North America 4, no. 3 (August 1986): 459–65. http://dx.doi.org/10.1016/s0733-8627(20)31016-6.

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6

Hsiao, James, and Victor Pacheco-Fowler. "Emergency Thoracotomy." Academic Emergency Medicine 15, no. 12 (December 2008): 1321. http://dx.doi.org/10.1111/j.1553-2712.2008.00263.x.

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7

Schultz, Megan L. "Open Thoracotomy." Academic Medicine 94, no. 4 (April 2019): 535. http://dx.doi.org/10.1097/acm.0000000000002584.

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8

Lorenz, Peter, Barry Steinmetz, Jeremy Lieberman, William P. Schecter, and James R. Macho. "EMERGENCY THORACOTOMY." Journal of Trauma: Injury, Infection, and Critical Care 31, no. 7 (July 1991): 1033. http://dx.doi.org/10.1097/00005373-199107000-00071.

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9

Biffl, Walter L., and Ernest E. Moore. "Resuscitative thoracotomy." Operative Techniques in General Surgery 2, no. 3 (September 2000): 168–75. http://dx.doi.org/10.1053/otgn.2000.17741.

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10

Deslauriers, Jean, and Reza John Mehran. "Posterolateral thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 51–57. http://dx.doi.org/10.1053/s1522-9042(03)00032-3.

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11

Force, Seth, and G. Alexander Patterson. "Anterolateral thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 104–9. http://dx.doi.org/10.1053/s1522-9042(03)00041-4.

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12

Champion, H. R., P. D. Danne, and F. Finelli. "Emergency thoracotomy." Emergency Medicine Journal 3, no. 2 (June 1, 1986): 95–99. http://dx.doi.org/10.1136/emj.3.2.95.

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13

Barrett, John. "Emergency Thoracotomy." AORN Journal 46, no. 6 (December 1987): 1077–84. http://dx.doi.org/10.1016/s0001-2092(07)69716-6.

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14

Singer, Norma. "Emergency Thoracotomy." AORN Journal 46, no. 6 (December 1987): 1086–95. http://dx.doi.org/10.1016/s0001-2092(07)69717-8.

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15

Tampinco-Golos, Isabelita. "Endoscopic Thoracotomy." AORN Journal 55, no. 5 (May 1992): 1167–80. http://dx.doi.org/10.1016/s0001-2092(07)68647-5.

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16

Deslauriers, Jean, and Reza John Mehran. "Posterolateral thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 51–57. http://dx.doi.org/10.1016/s1522-2942(03)70019-1.

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17

Force, Seth, and G. Alexander Patterson. "Anterolateral thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 104–9. http://dx.doi.org/10.1016/s1522-2942(03)70026-9.

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18

Boddaert, G., E. Hornez, H. De Lesquen, A. Avramenko, B. Grand, T. MacBride, and J. P. Avaro. "Resuscitation thoracotomy." Journal of Visceral Surgery 154 (December 2017): S35—S41. http://dx.doi.org/10.1016/j.jviscsurg.2017.07.003.

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19

Paulich, S., and D. Lockey. "Resuscitative thoracotomy." BJA Education 20, no. 7 (July 2020): 242–48. http://dx.doi.org/10.1016/j.bjae.2020.03.005.

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20

WOODWARD, GEORGE A. "Emergency Thoracotomy." Pediatric Emergency Care 3, no. 4 (December 1987): 299. http://dx.doi.org/10.1097/00006565-198712000-00023.

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21

Ordog, Gary J. "Emergency thoracotomy." American Journal of Emergency Medicine 5, no. 4 (July 1987): 312–16. http://dx.doi.org/10.1016/0735-6757(87)90359-7.

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22

Pust, Gerd Daniel, and Nicholas Namias. "Resuscitative thoracotomy." International Journal of Surgery 33 (September 2016): 202–8. http://dx.doi.org/10.1016/j.ijsu.2016.04.006.

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23

Skarupa, David J., and Joseph J. DuBose. "Resuscitative Thoracotomy." Current Trauma Reports 4, no. 1 (January 24, 2018): 48–55. http://dx.doi.org/10.1007/s40719-018-0117-3.

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24

Donovan, Paul J. "Emergency thoracotomy." Journal of Emergency Medicine 6, no. 1 (January 1988): 75. http://dx.doi.org/10.1016/0736-4679(88)90255-7.

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25

Al-Madhhachi, Bahaa Abdul Razzaq, Ahmed Muhi Fahad, and Osamah Obaid Ibrahim. "Video-assisted thoracoscopic surgery and mini-thoracotomy compared to conventional thoracotomy in the surgical management of pulmonary hydatid cyst." International Surgery Journal 9, no. 6 (May 26, 2022): 1136. http://dx.doi.org/10.18203/2349-2902.isj20221402.

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Background: Although hydatid cyst disease is not common in western countries, it is a public health issue in the Middle East, including Iraq. We describe a new method in the surgical management of the disease. Aim of the study was to evaluate the outcomes of different surgical approaches: video-assisted thoracoscopic surgery (VATS), mini-thoracotomy, and conventional thoracotomy in managing pulmonary hydatid cysts.Methods: Retrospective analysis of the surgical treatment of pulmonary hydatid cysts between January 2017 and December 2021 in two centers. Patients' data regarding the age, sex, sign and symptoms, cyst size and location, surgical approach, operative time, the intraoperative bleeding, chest drainage, hospitalization time, and postoperative complications.Results: A total of 122 patients were included in the study; 9 underwent VATS, 59 underwent mini-thoracotomy, and 54 had conventional thoracotomy. The VATS and mini-thoracotomy has superiority to the thoracotomy group in terms of lower duration of operation, less perioperative bleeding, early chest tube removal, and lower hospitalization time.Conclusions: VATS and mini-thoracotomy are safe and advantageous procedures compared to conventional thoracotomy.
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26

Lee, J. I., G. W. Kim, and K. Y. Park. "Intercostal Bundle-Splitting Thoracotomy Reduces Chronic Post-Thoracotomy Pain." Thoracic and Cardiovascular Surgeon 55, no. 6 (September 2007): 401–2. http://dx.doi.org/10.1055/s-2006-955943.

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27

Gautam, Sujeet KS. "Serratus Anterior Plane Block: A New Analgesic Technique for Post-Thoracotomy Pain." May 2015 3;18, no. 3;5 (May 14, 2015): E421—E424. http://dx.doi.org/10.36076/ppj.2015/18/e421.

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Pain following thoracotomy is of moderate to severe nature. Management of thoracotomy pain is a challenging task. Post thoracotomy pain has acute effects in the post operative period by affecting respiratory mechanics, which increases the morbidity. Poorly controlled thoracotomy pain in the acute phase may also lead to the development of a chronic pain syndrome. A young male patient underwent esophagectomy and esophago-gastric anastomosis for corrosive stricture of the esophagus. Epidural analgesia is standard of care for patients undergoing thoracotomy. Due to hypotension and fluid losses following surgery, he was maintained on intravenous sedatoanalgesia during postoperative mechanical ventilation. The thoracic epidural catheter which was placed pre-operatively, had developed blockage during the hospital stay. However, during weaning from ventilation and sedation, he indicated severe pain in the thoracotomy incision. The pain was severe enough to impair tidal breathing. We wanted to evaluate the efficacy of the serratus anterior plane block in the management of thoracotomy pain. The usefulness of this block has been discussed in the management of pain of rib fractures and breast surgeries. Despite the hypothesis of its usefulness in causing anaesthesia of the hemithorax, there are no available reports of clinical use for pain relief following thoracotomy. We performed the serratus anterior place block under ultrasound guidance and placed a catheter for continuous infusion of local anaesthetic and opioid. The patient had significant pain relief following a single bolus of the drug. The infusion was started thereafter, which provided excellent analgesia and facilitated an uneventful recovery. Here, we describe the successful management of thoracotomy pain using the serratus anterior plane block. Key words: Serratus anterior plane block, post-thoracotomy pain
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28

Miller, John D., Carmine Simone, Kam Kahnamoui, Jackie Thomas, William F. Bennett, James E. M. Young, and John D. Urschel. "Comparison of Videothoracoscopy and Axillary Thoracotomy for the Treatment of Spontaneous Pneumothorax." American Surgeon 66, no. 11 (November 2000): 1014–15. http://dx.doi.org/10.1177/000313480006601105.

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Surgical treatment of spontaneous pneumothorax can be done through a thoracotomy or a videothoracoscopic approach. Although the videothoracoscopic technique is currently popular it is not obviously superior to a more traditional axillary thoracotomy approach. We compared our recent experience with both techniques to determine the optimal surgical treatment for spontaneous pneumothoraces. A retrospective review of 79 patients treated surgically (34 thoracotomy and 45 thoracoscopy) for spontaneous pneumothoraces was done. Patients were treated between 1991 and 1997. Patients older than 60 years of age and those with spontaneous pneumothoraces secondary to generalized pulmonary emphysema were excluded. There were no operative deaths. Recurrence rate [thoracotomy, two of 34; thoracoscopy, three of 45 ( P < 0.89)], air leak exceeding 7 days [thoracotomy, three of 34; thoracoscopy, three of 45 ( P < 0.73)], operating room times [thoracotomy, 54 ± 26 minutes; thoracoscopy, 53 ± 16 minutes ( P < 0.59)], and postoperative length of stay [thoracotomy, 5.7 ± 4.3 days; thoracoscopy, 4.7 ± 4.4 days ( P < 0.26)] were not significantly different for the two techniques. We conclude that axillary thoracotomy and videothoracoscopy are equally effective surgical treatments for spontaneous pneumothoraces. A large randomized trial would be needed to determine whether one approach is truly superior to the other.
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29

Pyati, Srinivas. "Perioperative Ketamine Administration for Thoracotomy Pain." Pain Physician 3, no. 20;3 (March 10, 2017): 173–84. http://dx.doi.org/10.36076/ppj.2017.184.

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Background: Of all the postsurgical pain conditions, thoracotomy pain poses a particular therapeutic challenge in terms of its prevalence, severity, and ensuing postoperative morbidity. Multiple pain generators contribute to the severity of post-thoracotomy pain, and therefore a multimodal analgesic therapy is considered to be a necessary strategy. Along with opioids, thoracic epidural analgesia, and paravertebral blocks, N-Methyl-D-Aspartate (NMDA) receptor antagonists such as ketamine have been used as adjuvants to improve analgesia. Objective: We reviewed the evidence for the efficacy of intravenous and epidural administration of ketamine in acute post-thoracotomy pain management, and its effectiveness in reducing chronic postthoracotomy pain. Study Design: Systematic literature review and an analytic study of a data subset were performed. Methods: We searched PubMed, Embase, and Cochrane reviews using the key terms “ketamine,” “neuropathic pain,” “postoperative,” and “post-thoracotomy pain syndrome.” The search was limited to human trials and included all studies published before January 2015. Data from animal studies, abstracts, and letters were excluded. All studies not available in the English language were excluded. The manuscript bibliographies were reviewed for additional related articles. We included randomized controlled trials and retrospective studies, while excluding individual case reports. Results: This systematic literature search yielded 15 randomized control trials evaluating the efficacy of ketamine in the treatment of acute post-thoracotomy pain; fewer studies assessed its effect on attenuating chronic post-thoracotomy pain. The majority of reviewed studies demonstrated that ketamine has efficacy in reduction of acute pain, but the evidence is limited on the long-term benefits of ketamine to prevent post-thoracotomy pain syndrome, regardless of the route of administration. A nested analytical study found there is a statistically significant reduction in acute post-thoracotomy pain with IV or epidural ketamine. However currently, the evidence for a role of ketamine as a preventative agent for chronic postthoracotomy pain is insufficient due to the heterogeneity of the studies reviewed with regard to the route of administration, dosage, and outcome measures. Limitations: The evidence for a role of ketamine as a preventative agent for chronic post-thoracotomy pain is insufficient due to the heterogeneity of the studies reviewed. Conclusion: The majority of randomized controlled trials reviewed show no role for ketamine in attenuating or preventing post-thoracotomy pain syndrome at variable follow-up lengths. Therefore, additional research is warranted with consideration of risk factors and long-term follow-up for chronic post-thoracotomy pain though the evidence for benefit appears clear for acute post-thoracotomy pain. Key words: Ketamine, postoperative, thoracotomy pain, post thoracotomy pain syndrome, neuropathic pain
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30

Que, Do Kim, and Nguyen Trung Anh. "Surgical therapy for early stage non small cell lung cancer: VATS versus Thoracotomy." Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam 38 (July 28, 2022): 31–37. http://dx.doi.org/10.47972/vjcts.v38i.784.

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Objectives: Non-Small Cell Lung Cancer (NSCLC) is the common cancer and the leading cause death of cancer. Lobectomy and lymph node dissection is optimal surgical treatment method for early stage of NSCLC. Video-assisted thoracoscopic surgery (VATS) approach is less trauma, quickly recovery, whereas those who advocate thoracotomy claim it as an ontologically superior procedure. The aims of the study are to evaluate the role of Video-Assisted Thoracoscopic Surgery for treating the patients who have early stage of NSCLC and comparing with conventional thoracotomy. Methods: All of patients with NSCLC in stage IA - IIB underwent lobectomy and lymph node dissection through VATS or thoracotomy are collected. Patient characteristics are compared. Operative data, complications are assessed and survived is assessed by Kaplan–Meier and Cox proportional hazards analysis. Follow-up from 14 to 66 months. Results: From May 2008 to August 2016, 57 patients with NSCLC stage IA - IIB underwent an attempt at VATS lobectomy and 60 patients underwent thoracotomy. There are 75 males and 42 females, mean age is 56.3, range 31 - 84. Lobectomy was performed in 106 cases and bilobectomy was performed in 11 cases. The mean operating time in VATS group is 157 minutes longer than conventional thoracotomy, which was 124 minutes. There was no statistic difference between 2 groups separated based on characteristics of patients. In 57 cases VATS, 5 cases were converted to thoracotomy. There was one death in conventional thoracotomy group. One patient had bleeding, needed to be re-operationed to control bleeding in each group. Prolonged air-leak presented in 7 cases (10.7%) in thoracotomy and 2 cases (3.8%) in VATS group. Hospitalization is 18.4 days in thoracotomy group and 12.8 days in VATS group. The 5-year OS rate was 67.8% in the VATS group and 71.6% in the thoracotomy group (p = 0.156). The 5-year DFS rate was 59.6% in the VATS group and 65.9% in the thoracotomy group (p = 0.065). Survival by Cox model was no different for VATS versus thoracotomy (hazard ratio 0.82; P = .21) Conclusion: Video-assisted thoracoscopic surgery is effective and safe method for surgical treatment of early stage of NSCLC. Surgery remains the primary therapy in the treatment of early-stage lung cancer. VATS was associated with less complication and shorter length of hospital stay. The 5 years survival is similar in VATS and conventional thoracotomy approach.
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31

Umar, Abubakar. "Open Thoracotomy and Decortication for Chronic Empyema Thoracis: Our Experience." Journal of Thoracic Disease and Cardiothoracic Surgery 2, no. 2 (August 11, 2021): 01–05. http://dx.doi.org/10.31579/2693-2156/022.

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Background: Empyema thoracis is defined as the presence of pus in the pleural space or a purulent pleural effusion. Chronic empyema is characterized by thickened visceral and parietal peels which hamper the ability of the affected lung to re-expand and requires definitive surgical intervention. In a resource constraint environment like our, open thoracotomy and decortication is the treatment of choice. The aim of this article is to review our experience with cases of chronic empyema thoracis that had thoracotomy and decortication Materials and Methods: This is a descriptive and observational study. Medical records of patients who had thoracotomy and decortication on account of chronic empyema thoracis in the cardiothoracic surgery unit of our hospital between 2012 and 2020 were retrieved and reviewed. The information obtained from the records included gender, age, premorbid conditions, aetiology of empyema, cultures of pleural fluids, histology results of the cortex removed, duration of chest tube drainage, duration of hospital stay, postoperative complications and outcome. Results: One hundred and eighty-five patients diagnosed with empyema thoracis were seen in the study period. Sixty-five patients had thoracotomy and decortication on account of chronic empyema thoracis while the remaining 120 (64.9%) had closed tube thoracostomy drain insertion. Male: female was 5:1, mean age at presentation 24.24 years with age ranging from 2 years to 70 years. Fourteen (23.33%) were in the paediatric age group while the remaining (76.67%) were adults. The aetiology of empyema was pneumonia in 36 (60%). Streptococcus pneumoniae was the commonest organism isolated from pleural fluids of these patients accounting for 23.33%. All patients underwent thoracotomy and decortication. The mean duration before surgery was 17 days with a range of 2 days to 40 days. The average duration of surgery was 2 hours. Chest tube was removed after an average of 7 days (range 5 to 33 days. Twenty-one patients (35%) had complications. Average duration of drainage was 18.87 days and that of hospital stay was 36.74 days. There were 3 mortalities (5%). The mean duration of follow-up was 3 months. Conclusion: Chronic empyema thoracis is still common in our environment and presentation is usually very late. In our series, open thoracotomy and decortication was found to be an excellent procedure with low morbidity and mortality. Majority of our patients had good functional outcome with few complications.
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32

Wasserberger, Jonathan, Gary J. Ordog, Chat Dang, and Theodore L. Schlater. "Emergency Department Thoracotomy." Emergency Medicine Clinics of North America 7, no. 1 (February 1989): 103–15. http://dx.doi.org/10.1016/s0733-8627(20)30508-3.

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33

Werner, Raphael S., Claudio Caviezel, Olivia Lauk, and Isabelle Opitz. "Extended lateral thoracotomy." ASVIDE 7 (January 2020): 38. http://dx.doi.org/10.21037/asvide.2020.038.

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34

Mijatovic, Desimir, Tarun Bhalla, and Ibrahim Farid. "Post-thoracotomy analgesia." Saudi Journal of Anaesthesia 15, no. 3 (2021): 341. http://dx.doi.org/10.4103/sja.sja_743_20.

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35

Cussons, P. D. "Cryoanalgesia after thoracotomy." Anaesthesia 44, no. 6 (June 1989): 525–26. http://dx.doi.org/10.1111/j.1365-2044.1989.tb11404.x.

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36

COE, A., R. SARGINSON, M. W. SMITH, R. J. DONNELLY, and G. N. RUSSELL. "Pain following thoracotomy." Anaesthesia 46, no. 11 (November 1991): 918–21. http://dx.doi.org/10.1111/j.1365-2044.1991.tb09846.x.

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37

Thomson, Cynthia A., David R. Becker, Joseph M. Messick, Maria A. de Castro, Peter C. Pairolero, Victor F. Trastek, Michael J. Murray, Nancy K. Schulte, Kenneth P. Offord, and Jennifer A. Ferguson. "Analgesia After Thoracotomy." Anesthesia & Analgesia 81, no. 5 (November 1995): 973–81. http://dx.doi.org/10.1097/00000539-199511000-00014.

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38

Şengül, Ayşen Taslak. "Accidentally posterolateral thoracotomy." Turkish Journal of Thoracic and Cardiovascular Surgery 21, no. 3 (August 21, 2013): 833–35. http://dx.doi.org/10.5606/tgkdc.dergisi.2013.5348.

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39

Elswick, Sarah M., Shanda H. Blackmon, and Basel Sharaf. "Muscle-sparing Thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 22, no. 2 (2017): 110–21. http://dx.doi.org/10.1053/j.optechstcvs.2017.12.001.

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40

DOROTHEA, M. I., LIEBERMANN MEFFERT, URS LUESCHER, URS NEFF, THOMAS P. RÜEDI, and MARTIN ALLGÖWER. "Esophagectomy Without Thoracotomy." Annals of Surgery 206, no. 2 (August 1987): 184–92. http://dx.doi.org/10.1097/00000658-198708000-00011.

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41

Parker, Mary, and Stephen Hetz. "THORACOSCOPY AND THORACOTOMY." Southern Medical Journal 89, Supplement (October 1996): S126. http://dx.doi.org/10.1097/00007611-199610001-00266.

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42

Mejia, Juan C., Ronald M. Stewart, and Stephen M. Cohn. "Emergency Department Thoracotomy." Seminars in Thoracic and Cardiovascular Surgery 20, no. 1 (March 2008): 13–18. http://dx.doi.org/10.1053/j.semtcvs.2008.01.005.

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43

WESTFELT, JOHAN NATHORST, and ANDERS NORDWALL. "Thoracotomy and Scoliosis." Spine 16, no. 9 (September 1991): 1124–25. http://dx.doi.org/10.1097/00007632-199109000-00019.

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44

Durham, Lucian A., Robert J. Richardson, and Kenneth L. Mattox. "EMERGENCY CENTER THORACOTOMY." Journal of Trauma: Injury, Infection, and Critical Care 31, no. 7 (July 1991): 1027. http://dx.doi.org/10.1097/00005373-199107000-00048.

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45

MAIWAND, M., A. MAKEY, and A. REES. "Cryoanalgesia After Thoracotomy." Survey of Anesthesiology XXXI, no. 2 (April 1987): 102???103. http://dx.doi.org/10.1097/00132586-198704000-00026.

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46

Thomson, Cynthia A., David R. Becker, Joseph M. Messick, Maria A. de Castro, Peter C. Pairolero, Victor F. Trastek, Michael J. Murray, Nancy K. Schulte, Kenneth P. Offord, and Jennifer A. Ferguson. "Analgesia After Thoracotomy." Anesthesia & Analgesia 81, no. 5 (November 1995): 973–81. http://dx.doi.org/10.1213/00000539-199511000-00014.

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47

Maiwand, M. O., A. R. Makey, and A. Rees. "Cryoanalgesia after thoracotomy." Journal of Thoracic and Cardiovascular Surgery 92, no. 2 (August 1986): 291–95. http://dx.doi.org/10.1016/s0022-5223(19)35910-0.

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48

Murray, Gordon F. "Esophagectomy Without Thoracotomy." Annals of Thoracic Surgery 41, no. 3 (March 1986): 232–33. http://dx.doi.org/10.1016/s0003-4975(10)62760-9.

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49

Vallieres, Eric. "Apical axillary thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 58–61. http://dx.doi.org/10.1053/s1522-9042(03)00031-1.

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50

Force, Seth, and G. Alexander Patterson. "Curved axillary thoracotomy." Operative Techniques in Thoracic and Cardiovascular Surgery 8, no. 2 (May 2003): 62–67. http://dx.doi.org/10.1053/s1522-9042(03)00039-6.

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