When performing a pneumonectomy, the incision of choice would be the:

In the context of a pneumonectomy, the postlateral incision is preferred because it provides optimal access to the thoracic cavity and allows better visualization and manipulation of the lung and structures surrounding it. This incision, often referred to as a posterolateral thoracotomy, affords access to the entire hemithorax and is particularly advantageous for procedures involving the lungs, as it helps facilitate the removal of an entire lung, which can involve complex anatomical considerations.

Using a postlateral approach allows the surgeon to efficiently mobilize the lung, access the hilum, and manage any associated vascular structures effectively. The angle and placement of the incision enable the operator to have a clear line-of-sight and sufficient space for necessary instruments and retraction.

In contrast, the other incisions present limitations for a pneumonectomy. For instance, an anterolateral incision does not provide as much exposure for the posterior aspects of the lung, potentially complicating the surgical procedure. A median sternotomy is generally utilized for procedures requiring access to the mediastinum, such as cardiac surgery, rather than isolated lung resection. A subcostal incision is more commonly utilized for abdominal surgeries and would not offer adequate access to the thoracic cavity for a lung re