Okada Yoshinori, Sakurada A, Sado T, Matsuda Y, Watanabe T, Endo C, Hoshikawa Y, Noda M, Oyaizu T, Maeda S, Ooishi K, Kondo T
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Kyobu Geka. 2010 Jan;63(1):51-6.
Surgical approach is one of the most crucial aspects in the treatment of superior sulcus tumor (SST). Posterior approach as described by Paulson and coworkers is appropriate for the resection of SST invading posterior part of the 1st rib and the vertebrae, whereas anterior approaches as described by Masaoka, Dartevelle, Grunenwald, or Rusca are suitable for resection of SST involving subclavian vessels. We present 2 cases of SST who underwent complete resection through the posterior approach and a modified hemi-clamshell approach, respectively. We also discuss the surgical approaches for SST with referring to literatures.
手术入路是治疗肺上沟瘤（SST）最关键的方面之一。保尔森及其同事所描述的后入路适用于切除侵犯第一肋骨后部和椎体的SST，而正冈、达特韦尔、格鲁嫩瓦尔德或鲁斯卡所描述的前入路则适用于切除累及锁骨下血管的SST。我们报告了2例SST患者，分别通过后入路和改良半蛤壳式入路进行了完整切除。我们还结合文献讨论了SST的手术入路。
