title: Transmanubrial approach with video-assisted thoracoscopic surgery for left superior sulcus tumour with dense adhesion after replacement of descending thoracic aorta.
abstract: There are various surgical approaches to superior sulcus tumours according to the location of the tumour. The chief difficulties in the operation are broadening of the operative field and adhesiolysis. This study presents the case of surgical treatment of superior sulcus tumour following chemoradiation therapy with dense pleural adhesion due to a history of graft replacement of the descending thoracic aorta. The patient underwent left upper lobectomy via a transmanubrial osteomuscular-sparing approach combined with video-assisted thoracoscopic surgery (VATS). Transmanubrial approach combined with VATS offered a good overview during local tumour dissection.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University of Medicine, Sapporo, Japan. t.nakajima@sapmed.ac.jp
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakajima
authors.forename: Atsushi
authors.initials: A
authors.lastname: Watanabe
authors.forename: Jyunji
authors.initials: J
authors.lastname: Nakazawa
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Higami
mesh_terms: D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D059186:Chemoradiotherapy, Adjuvant; D057510:Endovascular Procedures / Q000009:adverse effects; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D010178:Pancoast Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D012086:Reoperation; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D000267:Tissue Adhesions; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome