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

Published bySusanna Octavia Sharp Modified over 6 years ago

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Presentation on theme: "One-stage approach for retroperitoneal and mediastinal metastatic testicular tumor resection  Elie Fadel, MD, Bernard Court, MD, Alain R Chapelier, MD,"— Presentation transcript:

1 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 (June 2000) DOI: /S (00)

2 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  , DOI: ( /S (00) )

3 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  , DOI: ( /S (00) )

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  , DOI: ( /S (00) )

5 Fig 4 Life-table analysis of survival rates. Vertical bars indicate standard errors. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

6 Fig 5 Life-table analysis of disease-free survival rates. Vertical bars indicate standard errors. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

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