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Article
May 1952

USE OF THORACICOABDOMINAL INCISION FOR UPPER ABDOMINAL NEOPLASMS

Author Affiliations

LOS ANGELES
From the Surgical Service, Veterans Administration Center, Wadsworth Hospital; the Department of Surgery, University of California School of Medicine, Los Angeles, and the St. John's Hospital, Santa Monica, Calif.

AMA Arch Surg. 1952;64(5):609-615. doi:10.1001/archsurg.1952.01260010627010
Abstract

REMOVAL neoplasms of the upper abdomen frequently requires extirpation of multiple organs. Although most lesions of the region can be adequately attacked through a direct abdominal incision, certain bulky neoplasms present problems in removal because of their size and the involvement of more than one structure. The thoracicoabdominal incision appears to be well suited for the surgical approach to such extensive lesions because it provides wide exposure for upper abdominal procedures and therefore renders resection of multiple visceral structures in this area more satisfactory. The purpose of this paper is to describe the use of the thoracicoabdominal incision for approaching large neoplasms arising in the upper abdomen and to outline a planned attack which facilitates the evaluation of operability and block resection of multiple organs in the upper peritoneal cavity. This report is based on experiences with 11 patients on whom the thoracicoabdominal incision was used in removing neoplasms which

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