Department of Thoracic Surgery, Kyoto City Hospital, Kyoto, Japan.
Ann Thorac Surg. 2012 Jul;94(1):e29-30. doi: 10.1016/j.athoracsur.2012.04.053.
Surgical resection after chemoradiotherapy with strict patient selection is an established treatment for superior sulcus tumors. Several surgical approaches have been described, but surgery for superior sulcus tumors is still a challenge. Among the approaches, the anterior transmanubrial approach has been reported to provide good access to apical chest tumors. A technique for video-assisted thoracic surgery combined with the anterior transmanubrial approach for superior sulcus tumor is reported.
经放化疗后,严格选择患者进行手术切除是治疗上沟肿瘤的既定方法。已经描述了几种手术入路,但上沟肿瘤的手术仍然具有挑战性。在这些入路中,经胸骨前入路已被报道可提供良好的近心端胸部肿瘤入路。本文报道了一种联合应用电视辅助胸腔镜手术和经胸骨前入路治疗上沟肿瘤的技术。