Murata S, Kohiyama R, Tanaka M, Miyamoto H, Hata E
Department of Surgical, Respiratory Center, Mistui Memorial Hospital, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Mar;42(3):404-8.
A 52-year-old woman of diffuse malignant mesothelioma of the right pleura with metastasis to right supraclavicular lymph nodes underwent extended extrapleural right pneumonectomy and neck dissection. For this resection we selected the new approach: median sternotomy with hemi-collar incision. Through this approach systematical dissection of the cervical-mediastinal lymph nodes was performed together with resection of the right lung, parietal pleura, the pericardium and the diaphragm. As a result of this en bloc resection, she is alive without recurrence for one year after the operation.
一名52岁女性，患有右胸膜弥漫性恶性间皮瘤并转移至右锁骨上淋巴结，接受了扩大的右胸膜外全肺切除术和颈部清扫术。对于此次切除手术，我们选择了新的手术入路：正中胸骨切开术联合半颈切口。通过该入路，在切除右肺、壁层胸膜、心包和膈肌的同时，对颈纵隔淋巴结进行了系统性清扫。由于进行了整块切除，术后一年她仍存活且无复发。
