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Left sided thoracotomy T3-L1/2

Thoracic and lumbar pathologies: Left sided thoracotomy (T3-L1/2)

Pearl: Incision above T5
Above T5 the scapula is an obstacle. Therefore, the skin incision differs slightly and is made two centimeters below the tip of the scapula. This allows the scapula to be released from the subscapularis muscle and lifted to grant access to the appropriate intercostal space.