Endocrine and Neuroendocrine Surgery by James R. Howe

Author:James R. Howe
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

Figure 11.3The 12th rib is dissected out and then the periostium is opened and reflected off of the rib (inset)

Figure 11.4The rib is resected as close to the spinous process as possible after dissecting out the neurovascular bundle. Efforts should be made to preserve the nerve while the vein and artery may be ligated and divided. The anterior lumbar dorsal fascia is incised

Figure 11.5The pleura is dissected cephalad off the diaphragm

Figure 11.6The diaphragm is partially divided with cautery medially

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