Sakuraba Motoki, Miyasaka Yoshikazu, Kodu Yoshiki, Suzuki Kenji
Division of General Thoracic Surgery, Juntendo University Nerima Hospital, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2012;18(1):42-4. doi: 10.5761/atcs.cr.11.01670. Epub 2011 Aug 26.
Many approaches for resection of the superior mediastinal tumors have been reported. We introduce an approach, which we call the cervical anterior approach. This approach is only cervical and does not require a sternotomy. Merits of this approach include the ability to remove the tumor without opening the mediastinal or parietal pleura, as well as obviating draining the thoracic cavity. The tumor is also directly visible, and the surgeon can avoid injury to the great vessels. This approach is recommended when the tumor is located superior to the third thoracic vertebra level, when it borders the great vessels, and when it does not border the trunk of the brachial plexus or nerve root. This approach is easy and safe for surgical procedures.
