A minimally invasive and safe surgical approach to resect anterior superior sulcus tumors

International Journal of Surgery Case Reports
Soichi OkaKatsuma Yoshimatsu

Abstract

Superior sulcus tumors (SSTs) are a wide range of tumors invading a section of the apical chest wall called the thoracic inlet. The unique characteristics of SSTs lie in the anatomy of the region where these tumors occur. For this reason, a surgical approach to treating these tumors is technically demanding, and complete resection may be difficult to accomplish. A 71-year-old Japanese man presented at our hospital due to left anterior chest pain and an abnormal chest CT scan showing a 40 × 33 × 30-mm tumor located in the left anterior apex of the thoracic inlet. This tumor had invaded the first and second rib and was located near the subclavian vein. There was no significant distant metastasis. Therefore, we performed surgical resection. The surgical procedure included three steps. First, we performed VATS observation via the left thoracic cavity. Second, via the transmanubrial approach, we obtained tumor-free margins of the anterior cervical structures. Third, through VATS in the left lateral decubitus position, we performed left upper lobectomy and mediastinal lymph node dissection. This surgery was successful, with no postoperative complications. This surgical approach was effective and safe for treating a superior sulcus tu...Continue Reading

References

Jul 20, 2016·Annals of Translational Medicine·Giuseppe MarulliFederico Rea
Aug 5, 2016·International Journal of Surgery Case Reports·Soichi OkaFumihiro Tanaka
Jun 27, 2017·International Journal of Surgery Case Reports·Soichi OkaFumihiro Tanaka
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group

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surgical resection
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