The significance of a 'T shaped' incision for resection of giant mediastinal tumors: a case report.

Autor: Pannu MK; Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicholas St 93, CY-2408, Nicosia, Cyprus., Ehrsam JP; Klinik Hirslanden Zürich, Thoracic Surgery Clinic, Witellikerstrasse 40, 8032, Zürich, Switzerland., Schöb OM; Klinik Hirslanden Zürich, Thoracic Surgery Clinic, Witellikerstrasse 40, 8032, Zürich, Switzerland., Inci I; Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicholas St 93, CY-2408, Nicosia, Cyprus.; Klinik Hirslanden Zürich, Thoracic Surgery Clinic, Witellikerstrasse 40, 8032, Zürich, Switzerland.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 May 30; Vol. 2024 (5), pp. rjae354. Date of Electronic Publication: 2024 May 30 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae354
Abstrakt: A 37-year-old male, with a 5-year history of liposarcoma of the right thigh, was incidentally diagnosed with two huge thoracic metastases following a fall. One of these masses, measuring 22 cm, was located in the right chest apex, adjacent to a second 20 cm mass situated in the anterior mediastinum, partially invading the left chest. The patient underwent surgical intervention for mass resection that commenced with a hemi-clamshell incision, but was then extended by completing the lower median sternotomy in order to create a T shaped incision. This type of incision provides ample access for large mediastinal tumors that extensively extend into one side of the thoracic cavity, encompass the anterior mediastinum, and partially reach into the opposite cavity. It enhances visualization, facilitates access to vital organs, allows for precise surgical maneuvers, minimizes the risk of inadvertent tissue damage, and enables thorough oncological resection.
Competing Interests: The authors declare that they have no competing interests.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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