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Lorenzo Spaggiari, MD, PhD, Ugo Pastorino, MD 

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1 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 (May 1999) DOI: /S (99) Copyright © 1999 Mosby, Inc. Terms and Conditions

2 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  , DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

3 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  , DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

4 Fig 3 Postoperative photograph at discharge. Note the integrity of the clavicle. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions


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