2012
DOI: 10.1016/j.jtcvs.2012.03.049
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Abstract: Objective: Several surgical approaches have been described to access apical thoracic malignancies extending into the thoracic inlet. However, most publications have focused on a specific approach and considered the thoracic inlet as 1 entity. In the present analysis, we divided the thoracic inlet into 5 different zones requiring specific surgical considerations to identify the best approach for each zone.Methods: A review of 22 consecutive patients undergoing surgery for apical thoracic malignancies extending … Show more

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Cited by 15 publications
(5 citation statements)
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“…An anterior approach was generally performed for tumors at the level of T1 and above. 9 Partial vertebral resection typically did not require vertebral stabilization, whereas hemivertebrectomy required posterior vertebral stabilization, and total vertebrectomy required both posterior and anterior vertebral stabilization.…”
Section: Methodsmentioning
confidence: 99%
“…An anterior approach was generally performed for tumors at the level of T1 and above. 9 Partial vertebral resection typically did not require vertebral stabilization, whereas hemivertebrectomy required posterior vertebral stabilization, and total vertebrectomy required both posterior and anterior vertebral stabilization.…”
Section: Methodsmentioning
confidence: 99%
“…In fact, the original description of the anterior transclavicular approach, which combined the anterior thoracotomy with posterolateral thoracotomy, was subsequently modified; lobectomy is performed through a single anterior thoracotomy. 5 Also, de Perrot and Rampersaud 1 noted that the anterior transclavicular approach is suited to access the tumor invading through the anterior to posterior components, such as the subclavian artery and the T1 vertebrae, which is the most challenging scenario in resecting the superior sulcus tumors.…”
Section: Discussionmentioning
confidence: 99%
“…Several approaches have been proposed based on the site of invasion. 1 We demonstrate a case who underwent anterior transclavicular approach (the Dartevelle approach) for non–small cell lung cancer invading the anatomical territory in the vicinity of the sternoclavicular joint ( Video 1 ). Institutional review board approval was waived, owing to the single case report nature, individual informed consent was not required.…”
mentioning
confidence: 99%
“…In order to ensure a safe approach, careful multi-disciplinary planning and adequate exposure of the surgical field and related vascular structures are necessary. Numerous approaches have been described for the management of lesions located in the apical thoracic region and mediastinum (1,2); however, a specific approach for tumors located in the SCJ in a hostile field is not well defined. We herein present a patient with a history of tracheostomy and neck radiation who presented with a HNSCC metastasis located at the SCJ.…”
Section: Introductionmentioning
confidence: 99%