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Thoracotomy with diagnostic wedge resection is a surgical procedure that involves making an incision in the chest to access the lungs. This procedure is specifically designed to evaluate diseased or damaged lung tissue. The diagnostic wedge resection allows the surgeon to remove a small, wedge-shaped portion of the lung, which is then sent for pathological examination. The results of this examination are critical as they inform the surgeon about the extent of the disease and help determine the appropriate course of action regarding further lung resection. The procedure is performed through a skin incision made at the front of the chest, which may be extended around the back to provide adequate access to the affected lung area. During the operation, soft tissues are carefully dissected to expose the ribs, and the chest cavity is entered through the intercostal space. In some cases, a rib may be removed to enhance access to the lung. The ultimate goal of this procedure is to obtain a clear diagnosis that will guide subsequent treatment decisions, including whether a more extensive anatomic lung resection is necessary during the same surgical session.
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