One-stage approach for retroperitoneal and mediastinal metastatic testicular tumor resection Elie Fadel, MD, Bernard Court, MD, Alain R Chapelier, MD,

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Presentation transcript:

One-stage approach for retroperitoneal and mediastinal metastatic testicular tumor resection Elie Fadel, MD, Bernard Court, MD, Alain R Chapelier, MD, PhD, Jean Pierre Droz, MD, Philippe Dartevelle, MD The Annals of Thoracic Surgery Volume 69, Issue 6, Pages 1717-1721 (June 2000) DOI: 10.1016/S0003-4975(00)01356-4

Fig 1 Computed tomographic scan showing postchemotherapy residual masses in the lower posterior mediastinum on both sides of the descending thoracic aorta and in the retroperitoneum. The Annals of Thoracic Surgery 2000 69, 1717-1721DOI: (10.1016/S0003-4975(00)01356-4)

Fig 2 The lower posterior mediastinum is exposed after paramedian division of the right diaphragmatic crus extended anteriorly through the muscular portion. This exposes both sides of the descending aorta. The Annals of Thoracic Surgery 2000 69, 1717-1721DOI: (10.1016/S0003-4975(00)01356-4)

Fig 3 The paraaortic and paracaval lymphatics below the renal arteries drain into the posterior mediastinum through the diaphragmatic crura, traveling through the two lesser apertures in each crus alongside the greater and the lesser splanchnic nerves, reaching the lower posterior mediastinum, and coursing lateral and posterior to the descending thoracic aorta. The Annals of Thoracic Surgery 2000 69, 1717-1721DOI: (10.1016/S0003-4975(00)01356-4)

Fig 4 Life-table analysis of survival rates. Vertical bars indicate standard errors. The Annals of Thoracic Surgery 2000 69, 1717-1721DOI: (10.1016/S0003-4975(00)01356-4)

Fig 5 Life-table analysis of disease-free survival rates. Vertical bars indicate standard errors. The Annals of Thoracic Surgery 2000 69, 1717-1721DOI: (10.1016/S0003-4975(00)01356-4)