Lorenzo Spaggiari, MD, PhD, Ugo Pastorino, MD

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Presentation transcript:

Anterior approach to the superior sulcus tumors: The transmanubrial osteomuscular sparing approach Lorenzo Spaggiari, MD, PhD, Ugo Pastorino, MD The Journal of Thoracic and Cardiovascular Surgery Volume 117, Issue 5, Pages 1042-1044 (May 1999) DOI: 10.1016/S0022-5223(99)70403-4 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig 1 Operative photograph. This patient underwent the TMA for an apical non–small cell lung carcinoma invading the anterior part of the first and second ribs. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1042-1044DOI: (10.1016/S0022-5223(99)70403-4) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig 2 Operative photograph of the same patient shown in Fig 1. An upper right lobectomy with radical lymph node dissection was performed through the anterior muscle sparing thoracotomy. The analysis of the specimen showed a pT3 pN0 non–small cell lung carcinoma. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1042-1044DOI: (10.1016/S0022-5223(99)70403-4) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig 3 Postoperative photograph at discharge. Note the integrity of the clavicle. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 1042-1044DOI: (10.1016/S0022-5223(99)70403-4) Copyright © 1999 Mosby, Inc. Terms and Conditions