Loré J M, Martin P T, Koch R J, Sittitrai P, Sundquist N
Head and Neck Oncology Service, Sisters of Charity Hospital, Buffalo, New York 14214.
Am J Surg. 1995 Mar;169(3):348-54. doi: 10.1016/S0002-9610(99)80174-3.
Surgical access for diseases that involve the superior mediastinum can be achieved without thoracotomy by utilizing the suprasternal approach with extension of the head and neck and transection of the interclavicular ligament, median sternotomy, resection of the medial third to one half of the clavicle, or resection of the manubrium sterni. There has been minimal morbidity and no operative or postoperative mortality in a review of 53 consecutive patients. There has been no significant disability. Combined with exposure at the base of the neck, the access to the superior mediastinum is good to excellent.
对于累及上纵隔的疾病，可通过采用头颈部伸展并切断锁骨间韧带的胸骨上入路、正中胸骨切开术、切除锁骨内侧三分之一至二分之一或胸骨柄切除术，在不进行开胸手术的情况下实现手术入路。在对53例连续患者的回顾中，发病率极低，无手术或术后死亡。无明显残疾。结合颈部底部的暴露，对上纵隔的暴露良好至极佳。
