title: [Surgical tactics in hourglass tumors with intravertebral-mediastinal locations].
abstract: The most expedient surgical tactics in hour-glass tumors of intravertebral-mediastinal localization are discussed. In 10 of 27 cases total removal of the tumor through a vertebral approach proved possible. Total removal of a rather large intrathoracic node by Guleke's method was conducted in 2 cases. In 10 cases with large intrathoracic nodes, total removal of the tumor was carried out by means of a combined intravertebral-thoracic (transpleural) approach suggested by the authors. It is emphasized that multi-stage operations and partial resection of the tumor are inexpedient and that attempts to remove it totally through a thoracic approach only are inadmissible.
mesh_terms: D005260:Female; D006801:Humans; D007796:Laminectomy; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008722:Methods; D009442:Neurilemmoma / Q000473:pathology / Q000601:surgery*; D013115:Spinal Canal; D013125:Spinal Neoplasms / Q000473:pathology / Q000601:surgery*; D013904:Thoracic Vertebrae
vernacular_title: Khirurgicheskaia taktika pri opukholiakh v forme pesochnykh chasov intravertebral'no-mediastinal'noĭ lokalizatsii.