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Spaggiari L, D'Aiuto M, Veronesi G, et al. Anterior approach for Pancoast tumor resection. Multimed Man Cardiothorac Surg. 2007;2007(1018):mmcts.2005.001776doi: 10.1510/mmcts.2005.001776.
Spaggiari, L., D'Aiuto, M., Veronesi, G., Leo, F., Solli, P., Elena Leon, M., Gasparri, R., Galetta, D., Petrella, F., Borri, A., & Scanagatta, P. (2007). Anterior approach for Pancoast tumor resection. Multimedia manual of cardiothoracic surgery : MMCTS, 2007(1018), mmcts.2005.001776. https://doi.org/10.1510/mmcts.2005.001776
Spaggiari, Lorenzo, et al. "Anterior approach for Pancoast tumor resection." Multimedia manual of cardiothoracic surgery : MMCTS vol. 2007,1018 (2007): mmcts.2005.001776. doi: https://doi.org/10.1510/mmcts.2005.001776
Spaggiari L, D'Aiuto M, Veronesi G, Leo F, Solli P, Elena Leon M, Gasparri R, Galetta D, Petrella F, Borri A, Scanagatta P. Anterior approach for Pancoast tumor resection. Multimed Man Cardiothorac Surg. 2007 Jan 01;2007(1018):mmcts.2005.001776. doi: 10.1510/mmcts.2005.001776. PMID: 24415052.
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Multimed Man Cardiothorac Surg. 2007 Jan 01;2007(1018):mmcts.2005.001776. doi: 10.1510/mmcts.2005.001776.

Anterior approach for Pancoast tumor resection.

Multimedia manual of cardiothoracic surgery : MMCTS

Lorenzo Spaggiari, Massimiliano D'Aiuto, Giulia Veronesi, Francesco Leo, Piergiorgio Solli, Maria Elena Leon, Roberto Gasparri, Domenico Galetta, Francesco Petrella, Alessandro Borri, Paolo Scanagatta

Affiliations

  1. University of Milan, School of Medicine, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.

PMID: 24415052 DOI: 10.1510/mmcts.2005.001776

Abstract

Tumors arising anteriorly in the apex of the chest were long considered unresectable because of early invasion of vascular structures limiting radical resection through the conventional Paulson approach. These tumors became operable in 1993 when Dartevelle popularized the cervico-thoracic transclavicular technique for resecting these neoplasms. Since then several different surgical approaches to anterior Pancoast tumors have been proposed, drastically improving the rate of radical resections of these tumors. However, there is no consensus on which anterior surgical approach provides the best access to all of the apical non-small cell lung cancers of the thoracic inlet. Moreover, it is still unclear if integrated neoadjuvant and adjuvant treatments can improve the rates of complete resection, local recurrence and long-term survival.

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