A Median Sternotomy Approach to Right Extrapleural Pneumonectomy for Mesothelioma

Although pulmonary resections have been performed through median sternotomy, this approach for extrapleural pneumonectomy in the management of malignant pleural mesothelioma has not been described. We assessed the feasibility of a median sternotomy approach as an alternative to thoracotomy in right-...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 80; no. 3; pp. 1143 - 1145
Main Authors Martin-Ucar, Antonio E., Stewart, Duncan J., West, Kevin J., Waller, David A.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.09.2005
Elsevier Science
Subjects
Biological and medical sciences
Follow-Up Studies
Humans
Lung Neoplasms - surgery
Medical sciences
Mesothelioma - surgery
Pneumonectomy - methods
Sternum - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
Treatment Outcome
14
Sternotomy
Extrapleural
Treatment
Respiratory disease
Surgery
Right
Tumor
Mesothelioma
Surgical approach
Thorax
Pneumectomy
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Summary:Although pulmonary resections have been performed through median sternotomy, this approach for extrapleural pneumonectomy in the management of malignant pleural mesothelioma has not been described. We assessed the feasibility of a median sternotomy approach as an alternative to thoracotomy in right-sided resections. Over a 15-month period, this approach was attempted in 10 cases. In 7 of them, the entire procedure was completed without additional thoracotomy access. There were no postoperative deaths in this group. At median follow-up of 8 months, we have not encountered tumor progression in the scars.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2004.04.038