title: Extrapleural pneumonectomy with venous confluence resection for stage IVA thymic tumors.
abstract: We report 4 patients with stage IVA thymic tumors who underwent extrapleural pneumonectomy and thymectomy with venous confluence resection using a temporary percutaneous venous jugular-femoral bypass technique. The superior vena cava was replaced in 2 patients, and the innominate vein was resected in 2 patients. Complete tumor resection was obtained in all patients. There was no 90-day postoperative mortality. One patient died at 6 months postoperatively of an unrelated cause, without recurrent disease, and 3 are alive and disease-free with a follow-up ranging from 19 to 80 months. Extrapleural pneumonectomy can be combined with thymectomy and venous confluence resection for stage IVA thymic tumors.
authors.affiliation: Thoracic and Vascular Surgery Service, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. michel.gonzalez@chuv.ch
authors.forename: Michel
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Thorsten
authors.initials: T
authors.lastname: Krueger
authors.forename: Jean Yannis
authors.initials: JY
authors.lastname: Perentes
authors.forename: Oskar
authors.initials: O
authors.lastname: Matzinger
authors.forename: Solange
authors.initials: S
authors.lastname: Peters
authors.forename: Hans-Beat
authors.initials: HB
authors.lastname: Ris
mesh_terms: D000328:Adult; D016121:Brachiocephalic Veins; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D011013:Pneumonectomy / Q000379:methods*; D049268:Positron-Emission Tomography; D012189:Retrospective Studies; D013934:Thymectomy / Q000379:methods*; D013945:Thymoma / Q000175:diagnosis / Q000601:surgery*; D013953:Thymus Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019043:Vascular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014683:Vena Cava, Superior