Modification of anterior approach to superior sulcus tumors

Single stage near total resection of massive pediatric head and neck plexiform neurofibromas

“…The parapharyngeal space, retropharyngeal space and lateral neck were dissected in a routine fashion. The upper mediastinum and thoracic inlet were addressed through the previously described Dartevelle approach to the lung apex [11,12]. Intraoperative photographs are presented in Fig.…”

Surgery in locally advanced non-small cell lung cancer

“…Several surgical approaches for resection of superior pulmonary sulcus tumors have been reported [3][4][5][6][7][8][9][10][11][12]. Superior sulcus tumor in particular presented an unfavorable result after resection itself only and the prognosis can vary depending on the location and the histological type of tumor, however, the result of the recent induction chemoradiation and surgery has been improved with better survival [13][14][15].…”

Transmanubrial osteomuscular sparing approach for lung cancer invading the anterior part of the thoracic inlet

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The most commonly applied approach for SST is the high posterior lateral thoracotomy (posterior approach) reported by Shaw and Paulson. 4 Although several authors have insisted that subclavian vessels could be resected by the posterior approach, theoretically, these vessels are more easily accessible anteriorly owing to their location in the thoracic inlet.…”

“…However, on reconstruction of the joint, it is usually diffi cult to restore the same function, as pointed out by Dartevelle and colleagues and by Grunenwald and associates. Another method to preserve the clavicle is sectioning and reapproximating the clavicle with wire or a plate, reported by Papsin in 1996, 12 Onuki et al in 1998, 8 In 1997, Grunenwald and Spaggiari proposed a transmanubrial osteomuscular-sparing approach in which the clavicle was moved away from the fi rst rib with a part of the manubrium and sternoclavicular joint. 2 This is one of the subclavian area-opening approaches; therefore, exposure of the subclavian vessels is excellent.…”