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Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Malkevich V.T.

Aleksandrov National Center of Oncology and Medical Radiology

Pivovarchik S.N.

Alexandrov National Cancer Center of Belarus

Partial cervicosternotomy for resection of non-bronchogenic tumors of the thoracic outlet

Authors:

Podobed A.V., Malkevich V.T., Pivovarchik S.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(9): 19‑26

DOI: 10.17116/hirurgia202109119

Read: 2065 times

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Table of contents

PARTIAL CERVICOSTERNOTOMY FOR RESECTION OF NON-BRONCHOGENIC TUMORS OF THE THORACIC OUTLET
PARTIAL CERVICOSTERNOTOMY FOR RESECTION OF NON-BRONCHOGENIC TUMORS OF THE THORACIC OUTLET

To cite this article:

Podobed AV, Malkevich VT, Pivovarchik SN. Partial cervicosternotomy for resection of non-bronchogenic tumors of the thoracic outlet. Pirogov Russian Journal of Surgery. 2021;(9):19‑26. (In Russ.)
https://doi.org/10.17116/hirurgia202109119

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve the results of surgical treatment of cervico-mediastinal tumors by using of partial upper cervicosternotomy.

MATERIAL AND METHODS

A retrospective analysis included 24 patients who underwent resection of cervico-mediastinal tumors via partial upper cervicosternotomy for the period from January 2002 to December 2019. Immediate and intermediate postoperative outcomes were analyzed.

RESULTS

Mean surgery time was 282.7 min, intraoperative blood loss — 325.0 ml. Duration of pleural cavity (mediastinum) drainage was 3 days, hospital-stay — 14 days. Major postoperative complications developed in 3 (12.5%) patients. No 90-day mortality was observed. No local relapses were detected throughout the follow-up period (median 36.1 months).

CONCLUSION

Partial cervicosternotomy is a safe and effective approach ensuring adequate visualization and reliable control of great vessels of the upper mediastinum and neck. This access is valuable for en-bloc resection of cervico-mediastinal tumors located in anterior and posterior parts of the thoracic inlet.

Keywords:

superior thoracic aperture
cervico-mediastinal tumor
cervicosternotomy
thoracic outlet

Authors:

Podobed A.V.

N.N. Alexandrov Republican Research and Practical Center for Oncology and Medical Radiology

Malkevich V.T.

Aleksandrov National Center of Oncology and Medical Radiology

Pivovarchik S.N.

Alexandrov National Cancer Center of Belarus

Received:

30.09.2020

Accepted:

21.10.2020

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References:

  1. Pikin OV, Glushko VA, Kolbanov KI, Amiraliev AM, Vursol DA, Barmin VV, Bagrov VA. Surgical approaches superior sulcus tumours. Povolzhskiy-onkologicheskiy-vestnik. 2014;1:45-53. 
  2. Liu Y, Lu T, Fan H, et al. Surgical Approaches to Non-thyrogenic and Non-thymic Mediastinal Tumors of the Thoracic Inlet. Thorac Cardiovasc Surg. 2018;66(4):336-343.  https://doi.org/10.1055/s-0036-1586156
  3. Zharkov VV, Yeskov SA, Malkevich VT. Surgical approaches to apical lung cancers invading the thoracic inlet. Oncological journal. 2007;1(4):61-71. 
  4. de Perrot M, Rampersaud R. Surgical approaches to apical thoracic malignancies. J Thorac Cardiovasc Surg. 2012;144(1):72-80.  https://doi.org/10.1016/j.jtcvs.2012.03.049
  5. Shaw RR, Paulson DL, Kee JL. Treatment of Superior Sulcus Tumor by Irradiation Followed by Resection. Ann Surg. 1961;154(1):29-40.  https://doi.org/10.1097/00000658-196107000-00003
  6. Porkhanov VA, Polyakov IS, Bodnya VN, Kononenko VB, Kovalenko AL, Sitnik SD, Sel’vashhuk AP. Current aspects of treatment in patients with upper lung cancer. Grudnaya i serdechno-sosudistaya khirurgiya. 2008;1:46-52. 
  7. Lahon B, Mercier O, Fadel E, et al. Subclavian artery resection and reconstruction for thoracic inlet cancer: 25 years of experience. Ann Thorac Surg. 2013;96(3):983-989.  https://doi.org/10.1016/j.athoracsur.2013.04.032
  8. Dartevelle PG, Chapelier AR, Macchiarini P, et al. Anterior transcervical-thoracic approach for radical resection of lung tumors invading the thoracic inlet. J Thorac Cardiovasc Surg. 1993;105(6):1025-1034.
  9. Nazari S. Transcervical approach (Dartevelle technique) for resection of lung tumors invading the thoracic inlet, sparing the clavicle. J Thorac Cardiovasc Surg. 1996;112(2):558-560.  https://doi.org/10.1016/s0022-5223(96)70296-9
  10. Grunenwald D, Spaggiari L. Transmanubrial osteomuscular sparing approach for apical chest tumors. Ann Thorac Surg. 1997;63(2):563-566.  https://doi.org/10.1016/s0003-4975(96)01023-5
  11. Spaggiari L, Calabrese L, Gioacchino G, Pastorino U. Cervico-thoracic tumors resection through transmanubrial osteomuscular sparing approach. Eur J Cardiothorac Surg. 1999;16(5):564-567.  https://doi.org/10.1016/s1010-7940(99)00311-5
  12. Pan X, Gu C, Wang R, Zhao H, Yang J, Shi J. Transmanubrial osteomuscular sparing approach for resection of cervico-thoracic lesions. J Thorac Dis. 2017;9(9):3062-3068. https://doi.org/10.21037/jtd.2017.08.99
  13. Chen X, Ma Q, Wang S, Zhang H, Huang D. Surgical treatment of posterior mediastinal neurogenic tumors. J Surg Oncol. 2019;119(6):807-813.  https://doi.org/10.1002/jso.25381
  14. Ladas G, Rhys-Evans PH, Goldstraw P. Anterior cervical-transsternal approach for resection of benign tumors at the thoracic inlet. Ann Thorac Surg. 1999;67(3):785-789.  https://doi.org/10.1016/s0003-4975(98)01323-x
  15. Vanakesa T, Goldstraw P. Antero-superior approaches in the practice of thoracic surgery. Eur J Cardiothorac Surg. 1999;15(6):774-780.  https://doi.org/10.1016/s1010-7940(99)00102-5
  16. Masaoka A, Ito Y, Yasumitsu T. Anterior approach for tumor of the superior sulcus. J Thorac Cardiovasc Surg. 1979;78(3):413-415. 
  17. Lardinois D, Sippel M, Gugger M, Dusmet M, Ris HB. Morbidity and validity of the hemiclamshell approach for thoracic surgery. Eur J Cardiothorac Surg. 1999;16(2):194-199.  https://doi.org/10.1016/s1010-7940(99)00156-6
  18. Lebreton G, Baste JM, Thumerel M, Delcambre F, Velly JF, Jougon J. The hemiclamshell approach in thoracic surgery: indications and associated morbidity in 50 patients. Interact Cardiovasc Thorac Surg. 2009;9(6):965-969.  https://doi.org/10.1510/icvts.2009.211623
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