title: Intrapericardial approach via median sternotomy for hilar non-small cell lung cancer invading the main pulmonary artery.
abstract: We describe a successful resection of the main pulmonary artery (MPA) using an intrapericardial approach via a median sternotomy in a patient with large hilar non-small cell lung cancer (NSCLC) invading the left MPA and Botallo's ligament. This approach was able to provide a good operative view even for the large hilar tumor, with easier and safer resection of the MPA, unlike the anteroaxial or posterolateral approach. This approach is a useful option for easy, safe and complete surgical resection in patients with NSCLC invading the MPA.
authors.affiliation: Department of General Thoracic Surgery, Breast and Endocrinological Surgery, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. hitoshi-iga@hotmail.co.jp
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Igai
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Yokomise
mesh_terms: D000792:Angiography; D002289:Carcinoma, Non-Small-Cell Lung / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010496:Pericardium / Q000601:surgery; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery*; D056346:Sternotomy / Q000379:methods*; D014057:Tomography, X-Ray Computed