Total vertebrectomy (Th2) and dissection of the subclavian artery for a superior sulcus tumor invading the spine: A case report

Oka, Soichi; Matsumiya, Hiroki; Shinohara, Syuichi; Kuwata, Taiji; Takenaka, Masaru; Chikaishi, Yasuhiro; Hirai, Ayako; Imanishi, Naoko; Kuroda, Koji; Uramoto, Hidetaka; Nakamura, Eiichiro; Tanaka, Fumihiro

doi:10.1016/j.ijscr.2016.07.034

Cited by 4 publications

(2 citation statements)

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“…Aggressive surgery (PA plasty, Br plasty, etc) requires high-level thoracotomy. Thoracic surgeons must learn several aggressive thoracic surgeries to facilitate the performance of completely curative surgery for advanced NSCLC [23] , [24] , [25] .…”

Section: Discussionmentioning

confidence: 99%

The major thoracic vascular invasion of lung cancer

Oka

Shinohara

Kuwata

et al. 2017

Annals of Medicine &Amp; Surgery

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BackgroundWe actually investigated the surgical and pathological findings in cases which tumor invasion of the major thoracic vessels was suspected based on the preoperative Computed tomography (CT) findings.Materials and methodsWe retrospectively reviewed our prospective database of all patients, who underwent lung resection for lung cancer from 2012 to 2014. 387 patients underwent lung cancer surgery. Among these patients, we analyzed 30 patients in whom pulmonary artery (PA) invasion was suspected and 11 patients in whom pulmonary vein (PV) or left atrium (LA) invasion was suspected based on the preoperative CT findings.ResultsAmong the 30 patients with suspected PA invasion, there were 9 patients in whom the tumor could be peeled off the PA in actual thoracotomy. Pathological invasion of the PA was observed in 6 of these patients. The positive predictive value of the preoperative CT findings was 20%. Among the 11 patients with suspected PV or LA invasion, there were 2 patients in whom the tumor could be peeled off the PV or LA in actual thoracotomy. Pathological tumor invasion of the PV or LA was observed in 4 of these patients. The positive predictive value of the preoperative CT findings was 36%.ConclusionThe positive predictive value of the preoperative CT findings for tumor invasion of the thoracic vessels was low. Therefore, surgical opportunities that offer the chance of a cure shouldn't be missed in advanced lung cancer patients because the tumor is located near the major thoracic vessels on preoperative CT.

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Section: Discussionmentioning

confidence: 99%

The major thoracic vascular invasion of lung cancer

Oka

Shinohara

Kuwata

et al. 2017

Annals of Medicine &Amp; Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…We were fortunate to be able to remove the tumor from the subclavian artery without issue; however, if we had not been able to remove it, we could alternatively have resected and reconstructed the subclavian artery via the transmanubrial approach. Indeed, we previously reported several aggressive surgeries in which we used the transmanubrial approach and resected/reconstructed major vessels [4] , [5] .…”

Section: Discussionmentioning

confidence: 99%