title: Double transmanubrial approach and sternotomy for resection of a giant thymic carcinoid tumor.
abstract: The transmanubrial approach allows excellent unilateral exposure of the thoracic outlet. However, selected patients may require a bilateral cervicomediastinal exposure to completely resect the neoplasm. We report the use of a "double" transmanubrial approach for the resection of a giant mediastinal mass requiring bilateral vascular dissection and superior vena cava system resection and replacement.
authors.affiliation: Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy. lorenzo.spaggiari@ieo.it
authors.forename: L
authors.initials: L
authors.lastname: Spaggiari
authors.forename: U
authors.initials: U
authors.lastname: Pastorino
mesh_terms: D000368:Aged; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008371:Manubrium / Q000601:surgery*; D016879:Salvage Therapy; D013249:Sternum / Q000601:surgery*; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed