title: [Combined Anterior and Posterior Surgical Approaches for Resection of a 2nd-rib Chondrosarcoma Occupying the Superior Sulcus].
abstract: A 77-year-old man with right chest wall chondrosarcoma invading vertebral bodies underwent resection. Computed tomography (CT) showed that the tumor occupied the right superior sulcus, and was close to mediastinal organs including the trachea and esophagus. We adopted a combined anterior and posterior approaches that made safe and curative resection possible. In the anterior approach, we dissected and mobilized the neurovascular structures and neighboring organs from the tumor. A-4 cm gutter on the ventral side of the 1st, 2nd, and 3rd thoracic vertebral bodies was created for safe resection. By the subsequent posterior approach, successful resection was achieved without violating tumor margins.
authors.affiliation: Department of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Shinohara
authors.forename: Masaki
authors.initials: M
authors.lastname: Anraku
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Saito
authors.forename: Kento
authors.initials: K
authors.lastname: Fukumoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Shinoda
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Chikuda
authors.forename: Jun
authors.initials: J
authors.lastname: Nakajima
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002813:Chondrosarcoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012272:Ribs / Q000473:pathology / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome