Which position is commonly used for the thoracotomy procedure?

The lateral position is the most commonly used position for a thoracotomy procedure. This surgical approach involves accessing the thoracic cavity, and positioning the patient in the lateral decubitus position allows the surgeon optimal access to the ribs and pleural space while minimizing the risk to the lung and other mediastinal structures.

In this position, the patient's side that requires surgery is positioned up, providing a clear pathway for the surgical incision between the ribs. This lateral approach enhances visualization and accessibility to the lung, allowing for procedures such as lobectomy, wedge resection, or exploration for other thoracic conditions. It also facilitates proper ventilation management, as the dependent lung can be selectively ventilated.

Understanding the purpose of different positions helps in the pre-operative preparation and planning, ensuring optimal surgical outcomes while maintaining patient safety.