Matsuguma Haruhisa, Nakahara R, Ohata N, Ui A
Department of Thoracic Surgery, Tochigi Cancer Center, Utsunomiya, Japan.
Kyobu Geka. 2010 Jan;63(1):23-7.
The surgical technique to achieve complete resection for superior sulcus tumor invading major anatomical sites including the subclavian vessels is challenging. The anterior transcervical-thoracic approach applied by Dartevelle and colleagues provides excellent exposure of the subclavian vessels. Grunenwald and associates have improved on this approach to preserve the clavicle and sternoclavicular joint. This paper describes the merits of this approach and details how to perform this surgical procedure.
对于侵犯包括锁骨下血管在内的主要解剖部位的肺上沟瘤，实现完整切除的手术技术具有挑战性。Dartevelle及其同事采用的经颈前路-胸廓入路能很好地暴露锁骨下血管。Grunenwald及其同事改进了该入路以保留锁骨和胸锁关节。本文描述了该入路的优点，并详细介绍了如何实施这一手术操作。
