title: Transmanubrial approach with antero-lateral thoracotomy for apical chest tumor.
abstract: Transmanubrial osteomuscular sparing approach (TMA) has been recently proposed for the treatment of apical chest tumor to allow a safer subclavian artery control with a less invasive procedure for the patient. The present technique combines the antero-lateral muscle-sparing thoracotomy with TMA for lung cancer patients in whom extended resection of cervico-thoracic structures as well as anatomic lung resection and radical lymph nodes dissection are required.
authors.affiliation: Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy. lspaggia@ieo.it
authors.forename: L
authors.initials: L
authors.lastname: Spaggiari
authors.forename: U
authors.initials: U
authors.lastname: Pastorino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D005354:Fibrosarcoma / Q000473:pathology / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008371:Manubrium / Q000601:surgery*; D008875:Middle Aged; D013348:Subclavian Artery / Q000473:pathology / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*