Masaoka A, Ito Y, Yasumitsu T
J Thorac Cardiovasc Surg. 1979 Sep;78(3):413-5.
A new approach for the resection of tumors of the superior sulcus is described. The exposure is gained through a proximal median sternotomy extended into the anterior fourth intercostal space as well as to the base of the neck on the appropriate side. This approach guarantees excellent exposure of the tumor, subclavian artery, and brachial plexus as well as access to the ribs posteriorly and the border of the vertebral bodies. Hilar dissection is readily accomplished without change of the patient's position. Disadvantages relate to depth of exposure, especially in large individuals, and the complicated wound closure.
本文描述了一种用于切除肺尖部肿瘤的新方法。通过将近端正中胸骨切开术延伸至第四肋间前间隙以及适当一侧的颈部基部来获得手术视野。这种方法能确保对肿瘤、锁骨下动脉和臂丛神经进行极佳的暴露，还能接触到后方的肋骨以及椎体边缘。在不改变患者体位的情况下即可轻松完成肺门解剖。缺点包括暴露深度问题，尤其是在体型较大的患者中，以及伤口闭合复杂。
