Dual approach for large mediastinal tumors in the thoracic outlet: transmanubrial osteomuscular sparing approach and video-assisted thoracoscopic surgery

Journal of Cardiothoracic Surgery
Hidenao KayawakeHiroshi Date

Abstract

Selecting the proper surgical approach for mediastinal tumors in the thoracic outlet is difficult. Video-assisted thoracoscopic surgery is ideal because of the less invasiveness; however, it is often difficult to resect tumors only by video-assisted thoracoscopic surgery due to the poor visualization of the cranial side of tumors. We report two successfully treated cases by using a dual approach consisting of the transmanubrial osteomuscular sparing technique and video-assisted thoracoscopic surgery for aiming both the less invasiveness and the good visualization of the cranial side of tumors. We present two resected cases of the mediastinal tumor in the thoracic outlet. The first case was a 28-year-old woman and the second case was a 37-year-old man. They had a mediastinal tumor in the thoracic outlet which was detected on the roentgenogram. A definitive preoperative diagnosis was unavailable. The surgical resection was started with video-assisted thoracoscopic surgery in the both cases. After the dissection of the caudal side of the tumor, the dissection of the cranial side was judged to be difficult and risky because the tumor was located adjacent to major vessels and the good visualization of this side couldn't be acquired....Continue Reading

References

Feb 1, 1997·The Annals of Thoracic Surgery·D Grunenwald, L Spaggiari
Jun 28, 2012·The Annals of Thoracic Surgery·Kei ShikumaTsutomu Osako

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Citations

Feb 6, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Cesare PiazzaLorenzo Giannini

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Methods Mentioned

BETA
dissection
dissect

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