Loré J M, Szymula N J
Arch Otolaryngol. 1980 Jan;106(1):6-7. doi: 10.1001/archotol.1980.00790250008002.
Removal of disease from the superior mediastinum requires adequate visualization. This article reports another technique to gain access to this anatomic area. We describe here a selective series of nine patients who underwent resection of the medial one third of the clavicle in conjunction with primary surgery to remove disease from the superior mediastinum. The procedure is described in detail. Possible complications such as pneumothorax, transection of the subclavian artery or vein, hematoma, or abscess formation have not occurred. We recommend this procedure for patients with mediastinal lymph node disease as well as for patients with large substernal thyroid disease where exposure of the superior mediastinum is required.
从上纵隔清除病灶需要充分的视野。本文报道了另一种进入该解剖区域的技术。我们在此描述了一组九例选择性患者，他们接受了锁骨内侧三分之一切除术，同时进行了从上纵隔清除病灶的初次手术。详细描述了该手术过程。尚未发生诸如气胸、锁骨下动脉或静脉横断、血肿或脓肿形成等可能的并发症。我们推荐该手术用于患有纵隔淋巴结疾病的患者以及需要暴露上纵隔的巨大胸骨后甲状腺疾病患者。
