title: Challenging posterior mediastinal mass resection via a minimally invasive approach with neurological monitoring.
abstract: We report a novel surgical strategy for the resection of a rare type of posterior mediastinal tumour in a young patient. A melanotic schwannoma arose from the left thoracic sympathetic chain, adjacent to the origin of the artery of Adamkiewicz. Successful excision of this tumour via a minimally invasive approach without arterial or spinal cord injury was possible with the aid of neurological monitoring using spinal-evoked potentials.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Charles Nicolle University Hospital, Rouen, France. hassibasmail@yahoo.fr
authors.forename: Hassiba
authors.initials: H
authors.lastname: Smail
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Baste
authors.forename: Jean
authors.initials: J
authors.lastname: Melki
authors.forename: Christophe
authors.initials: C
authors.lastname: Peillon
mesh_terms: D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery*; D016343:Monitoring, Intraoperative; D009442:Neurilemmoma / Q000601:surgery*; D059351:Organ Sparing Treatments / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014711:Vertebral Artery / Q000601:surgery