Resection of superior sulcus carcinomas (anterior approach)

Thoracic Surgery Clinics
Paolo Macchiarini

Abstract

Physicians' understanding of the anatomy, biology [9], and treatment outcome [12] for superior sulcus carcinoma has changed greatly during the last decade [2,3]. One of the major advances in this regard has been the introduction of anterior approaches for resection. These approaches increase the likelihood of complete resection and permit resection of tumors that were previously considered technically unresectable. Each approach must be understood in detail to avoid incomplete operations and life-threatening complications. These technical advances, with recent evidence that preoperative chemoradiotherapy leads to higher complete resection rates, overall survival, and local control than do radiation and surgery alone [32], have changed physicians' attitudes toward superior sulcus carcinomas, especially for those tumors (eg, T4) previously considered technically unresectable and oncologically incurable. It is hoped that, in the future, resection of disease invasion of the brachial plexus above C7 will be technically feasible [33], and that new drugs will reduce the risk of systemic relapse after resection.

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Citations

Nov 6, 2010·Journal of Cardiothoracic Surgery·Haralabos Parissis, Vincent Young
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Lorenzo SpaggiariPaolo Scanagatta
Jun 23, 2012·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Paul E Van SchilJoaquin Jose Pac-Ferrer
Jan 1, 2011·Seminars in Thoracic and Cardiovascular Surgery·Massimo Jaus, Paolo Macchiarini
May 11, 2010·Thoracic Surgery Clinics·Tetsuhiko Go, Paolo Macchiarini
Mar 30, 2010·Clinical Oncology : a Journal of the Royal College of Radiologists·C PeedellA Bapusamy
Nov 22, 2008·The Annals of Thoracic Surgery·Abel Gómez-CaroPaolo Macchiarini
Dec 2, 2006·The Lancet Oncology·Valerie W Rusch
Apr 17, 2012·The Journal of Thoracic and Cardiovascular Surgery·Marc de Perrot, Raja Rampersaud
Jul 21, 2010·Interactive Cardiovascular and Thoracic Surgery·Gaetano Di RienzoAnna Lucia Urgese
Apr 2, 2017·Thoracic Surgery Clinics·Johannes R KratzDavid M Jablons

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