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Treatment of pancoast tumors from the surgeons prospective: re-appraisal of the anterior-manubrial sternal approach.

Parissis H, Young V - J Cardiothorac Surg (2010)

Bottom Line: Pancoast tumours are now amenable to multimodality treatment with an acceptable survival.Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels.We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland. hparissis@yahoo.co.uk

ABSTRACT
Pancoast tumours are now amenable to multimodality treatment with an acceptable survival. This is because trimodality treatment improves tumor sterilization and hence outcome. Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels. We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

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Root of neck anatomy, depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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Figure 3: Root of neck anatomy, depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib.

Mentions: Root of neck anatomy as in Figure 3 is depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib. The anterior and middle scalene muscles are attached to the first rib and can be used as landmarks: in front of the anterior scalene muscle situated the subclavian and internal jugular veins and the sternocleidomastoid and omohyoid muscles.


Treatment of pancoast tumors from the surgeons prospective: re-appraisal of the anterior-manubrial sternal approach.

Parissis H, Young V - J Cardiothorac Surg (2010)

Root of neck anatomy, depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992054&req=5

Figure 3: Root of neck anatomy, depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib.
Mentions: Root of neck anatomy as in Figure 3 is depicting carefully the relationship of the most important neurovascular structures to the scalene musculature and the first rib. The anterior and middle scalene muscles are attached to the first rib and can be used as landmarks: in front of the anterior scalene muscle situated the subclavian and internal jugular veins and the sternocleidomastoid and omohyoid muscles.

Bottom Line: Pancoast tumours are now amenable to multimodality treatment with an acceptable survival.Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels.We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland. hparissis@yahoo.co.uk

ABSTRACT
Pancoast tumours are now amenable to multimodality treatment with an acceptable survival. This is because trimodality treatment improves tumor sterilization and hence outcome. Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels. We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.

Show MeSH
Related in: MedlinePlus