Median approach for upper lobe lung cancer patients with suspected anterior mediastinal invasion

Hiroyuki Oura, M. Handa, T. Sawada, Y. Watanabe, N. Tomichi

Research output: Contribution to journalArticlepeer-review

Abstract

We report the usefulness of a median approach to the mediastinum for the treatment of lung cancer with possible mediastinal invasion. Patient was a 74-year-old man with left S3 squamous cell carcinoma suspected of anterior mediastinal invasion (cT4N0M0) because of hoarseness before surgery. A median sternotomy with partial collar incision was chosen for surgery. The tumor was widely adherent to the anterior mediastinum, invading the common carotid artery and the origin of the left subclavian artery. Left upper lobectomy with ND2a by incomplete resection of the invading portion followed by postoperative radiotherapy was performed. For upper lobe lung cancer with possible mediastinal invasion, a median approach seems to be useful, because it facilitates both easy approach to the anterior mediastinum and the management of invasion of large vessels.

Original languageEnglish
Pages (from-to)363-366
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume61
Issue number5
Publication statusPublished - 2008 May
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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