Crank-shaped sternotomy for upper mediastinal lymph node dissection in patients with differentiated thyroid cancer.
We describe our modification of the reversed T-shaped sternotomy. The conventional technique consists of a limited upper sternotomy with transverse division of the sternum. Our modification involves shifting the transverse division lines one costal space between the right and left sides for perfect apposition of the divided upper and lower sternum. This technique can be used for patients with thyroid cancer and mediastinal lymph node metastasis and for those with a mediastinal tumor or certain cardiac disorders.
Yamashita
Hiroyuki
H
Noguchi Thyroid Clinic and Hospital Foundation, 6-33 Noguchi-Nakamachi, Beppu, Oita 874-0932, Japan.
Masatsugu
Toshihiro
T
Uchino
Shinya
S
Watanabe
Shin
S
Ogawa
Takahiro
T
Takamatsu
Yuji
Y
Miyatake
Eiji
E
Noguchi
Shiro
S
D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery*