title: Anterior approach for Pancoast tumor resection.
abstract: Tumors arising anteriorly in the apex of the chest were long considered unresectable because of early invasion of vascular structures limiting radical resection through the conventional Paulson approach. These tumors became operable in 1993 when Dartevelle popularized the cervico-thoracic transclavicular technique for resecting these neoplasms. Since then several different surgical approaches to anterior Pancoast tumors have been proposed, drastically improving the rate of radical resections of these tumors. However, there is no consensus on which anterior surgical approach provides the best access to all of the apical non-small cell lung cancers of the thoracic inlet. Moreover, it is still unclear if integrated neoadjuvant and adjuvant treatments can improve the rates of complete resection, local recurrence and long-term survival.
authors.affiliation: University of Milan, School of Medicine, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Spaggiari
authors.forename: Massimiliano
authors.initials: M
authors.lastname: D'Aiuto
authors.forename: Giulia
authors.initials: G
authors.lastname: Veronesi
authors.forename: Francesco
authors.initials: F
authors.lastname: Leo
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Solli
authors.forename: Maria
authors.initials: M
authors.lastname: Elena Leon
authors.forename: Roberto
authors.initials: R
authors.lastname: Gasparri
authors.forename: Domenico
authors.initials: D
authors.lastname: Galetta
authors.forename: Francesco
authors.initials: F
authors.lastname: Petrella
authors.forename: Alessandro
authors.initials: A
authors.lastname: Borri
authors.forename: Paolo
authors.initials: P
authors.lastname: Scanagatta