. Manual of operative surgery. esophagus in front. The right pleurapasses behind the oesophagus in front of the azygos so as to form a sort ofcul-de-sac (Quenu). The two pleurae are loosely connected by areolar position of the pneumogastric nerves is well seen in Fig. 365. To expose BRONCHOTOMY 245 the oesophagus it is necessary to retract the pleurae and with them the pneu-mogastric nerves. Retraction of the pleurae and of the oesophagus exposesthe trachea and primary bronchi. I. RIGHT BRONCHOTOMY The Operation.—Place the patient in the latero-ventral position on theedge of the tab
. Manual of operative surgery. esophagus in front. The right pleurapasses behind the oesophagus in front of the azygos so as to form a sort ofcul-de-sac (Quenu). The two pleurae are loosely connected by areolar position of the pneumogastric nerves is well seen in Fig. 365. To expose BRONCHOTOMY 245 the oesophagus it is necessary to retract the pleurae and with them the pneu-mogastric nerves. Retraction of the pleurae and of the oesophagus exposesthe trachea and primary bronchi. I. RIGHT BRONCHOTOMY The Operation.—Place the patient in the latero-ventral position on theedge of the table with the right arm hanging over the table (Fig. 366). Step I.—From a point (A) at the junction of the spine and median borderof the scapula make an incision to a point (B) about i^^ inches to the rightof the spines of the vertebrae. From the point B, cut downwards parallel tothe spinous processes for a distance of about five inches (C). Make the in-cision C, D which passes just below the angle of the scapula. The result. Figs. 366 and 367.—Bronchotomy. (Schwartz.)
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