Open Resection of Cervico-Thoracic Neuroblastoma in Children Using an Anterior Cervico-Midline Manubrial Sternotomy Incision

We describe a surgical approach to cervicothoracic neuroblastoma in children which included a cervical incision and a median sternotomy. The incision did not include a thoracotomy, but provided adequate exposure in all patients with minimal morbidity. All structures from the neck to the descending a...

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Bibliographic Details
Published inIndian journal of surgery Vol. 85; no. Suppl 2; pp. 476 - 482
Main Authors Satheesan, Radhakrishnan, Lazarus, Rajiv Padankatti, Solomon, Neville, Moosa, MusthafaJaneel, Vaidyanathan, Swaminathan, Swaminathan, VenkateswaranVellaichamy, Uppuluri, Ramya, Raj, Revathi
Format Journal Article
LanguageEnglish
Published New Delhi Springer India 01.10.2023
Springer
Springer Nature B.V
Subjects
Cancer surgery
Cardiac Surgery
Medicine
Medicine & Public Health
Neuroblastoma
Neurosurgery
Pediatric Surgery
Plastic Surgery
Surgery
Surgical techniques
Surgical Techniques and Innovations
Thoracic Surgery
Surgical approach
Cervical partial median-sternotomy
Cervicothoracic neuroblastoma
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Summary:We describe a surgical approach to cervicothoracic neuroblastoma in children which included a cervical incision and a median sternotomy. The incision did not include a thoracotomy, but provided adequate exposure in all patients with minimal morbidity. All structures from the neck to the descending aorta all the way to the posterior mediastinum could be visualized. Three children were included, all of whom were discharged on the fifth-day post-surgery with minimal pain, no shoulder joint instability, or displacement of the clavicle. We would recommend this alternative surgical approach using a cervical partial median-sternotomy for all children with cervicothoracic neuroblastoma as it provides good disease control with optimal post-surgery outcomes.
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-022-03637-4