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Transcervical approach (Datrevelle technique) for resection of lung tumors invading the thoracic inlet, sparing the clavicle  Stefano Nazari, MD  The.

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Presentation on theme: "Transcervical approach (Datrevelle technique) for resection of lung tumors invading the thoracic inlet, sparing the clavicle  Stefano Nazari, MD  The."— Presentation transcript:

1 Transcervical approach (Datrevelle technique) for resection of lung tumors invading the thoracic inlet, sparing the clavicle  Stefano Nazari, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 112, Issue 2, Pages (August 1996) DOI: /S (96) Copyright © 1996 Mosby, Inc. Terms and Conditions

2 Fig. 1 The thoracic inlet is fully exposed simply by disarticulating the clavicle from the sternum and pulling it downward (inset). In this case a large tumor is invading the thoracic inlet posterior to the brachial plexus (left; white arrows). The tumor was removed en bloc with the ribs (right). p, Brachial plexus; a, subclavian artery; v, subclavian vein; cl, clavicle. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Mosby, Inc. Terms and Conditions

3 Fig. 2 After the resection is completed, the clavicle is approximated to the sternum and fixed with two metallic stitches. In this case the clavicle was fixed a bit lower than its physiologic position to better compensate for the thoracic cage defect resulting from removal of the first and second ribs. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Mosby, Inc. Terms and Conditions

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