Transmanubrial Osteomuscular Sparing Approach for Sulcus Superior Tumours

Objective: The authors report their initial experience with the transmanubrial osteomuscular sparing approach for resection of sulcus superior tumours. The feasibility of this technique is evaluated. Patients: Between February 2000 and March 2002 three patients with sulcus superior tumours were surg...

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Bibliographic Details
Published in:Acta chirurgica belgica 2003-11, Vol.103 (6), p.577-581
Main Authors: Verbeke, S. J. M. E., Knaepen, P. J., Slooff, W. B. M., Van Es, H. W., Schramel, F. M. N. H., van den Bosch, J. M. M.
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Bronchoscopy
Carcinoma, Non-Small-Cell Lung - diagnosis
Carcinoma, Non-Small-Cell Lung - surgery
Follow-Up Studies
General aspects
Humans
Lung Neoplasms - diagnosis
Lung Neoplasms - surgery
Magnetic Resonance Imaging
Male
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - surgery
Medical sciences
Middle Aged
Plasmacytoma - diagnosis
Plasmacytoma - surgery
Pneumonectomy - methods
Postoperative Complications
Risk Assessment
Sampling Studies
Sulcus superior
Thoracic Surgical Procedures - methods
Thoracotomy - methods
Treatment Outcome
tumour
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Summary:Objective: The authors report their initial experience with the transmanubrial osteomuscular sparing approach for resection of sulcus superior tumours. The feasibility of this technique is evaluated. Patients: Between February 2000 and March 2002 three patients with sulcus superior tumours were surgically treated using the transmanubrial osteomuscular sparing approach. The first two patients had a non-small cell carcinoma of the upper lobe. In the third patient a pathological diagnosis of a plasmocytoma of the first rib was made. In two cases the first thoracic root was resected. Results: In two patients a complete R0 resection was achieved. However, an additional posterolateral thoracotomy was necessary in two patients because the costovertebral angle was difficult to address. In one patient final histologic examination found microscopically positive margins. Conclusion: We believe that the transmanubrial osteomuscular sparing technique enables us to approach and control the subclavian vessels and brachial plexus in an oncologically responsible way and permits a radical resection of tumours invading the thoracic inlet.
ISSN:0001-5458
DOI:10.1080/00015458.2003.11679494