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Ohya J, Miyoshi K, Kitagawa T, et al. Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root. Asian Spine J. 2015;9(4):595-9doi: 10.4184/asj.2015.9.4.595.
Ohya, J., Miyoshi, K., Kitagawa, T., Sato, Y., Maehara, T., & Mikami, Y. (2015). Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root. Asian spine journal, 9(4), 595-9. https://doi.org/10.4184/asj.2015.9.4.595
Ohya, Junichi, et al. "Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root." Asian spine journal vol. 9,4 (2015): 595-9. doi: https://doi.org/10.4184/asj.2015.9.4.595
Ohya J, Miyoshi K, Kitagawa T, Sato Y, Maehara T, Mikami Y. Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root. Asian Spine J. 2015 Aug;9(4):595-9. doi: 10.4184/asj.2015.9.4.595. Epub 2015 Jul 28. PMID: 26240720; PMCID: PMC4522451.
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Asian Spine J. 2015 Aug;9(4):595-9. doi: 10.4184/asj.2015.9.4.595. Epub 2015 Jul 28.

Combined Video-Assisted Thoracic Surgery and Posterior Spinal Surgery for the Treatment of Dumbbell Tumor of the First Thoracic Nerve Root.

Asian spine journal

Junichi Ohya, Kota Miyoshi, Tomoaki Kitagawa, Yusuke Sato, Takamitsu Maehara, Yoji Mikami

Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan. ; Department of Orthopaedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan.
  2. Department of Orthopaedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan.
  3. Department of Respiratory Surgery, Yokohama Rosai Hospital, Yokohama, Japan.

PMID: 26240720 PMCID: PMC4522451 DOI: 10.4184/asj.2015.9.4.595

Abstract

Although several cases of a dumbbell tumor of thoracic nerve roots have been reported, reports on the surgical procedures for a dumbbell tumor of the first thoracic (T1) nerve root are rare. Surgeons should be cautious, especially when performing a surgical procedure for a dumbbell tumor of the T1 nerve root because the tumor is anatomically located adjacent to important organs and because the T1 nerve root composes the lower trunk of the brachial plexus with the eighth cervical nerve root. We present cases with dumbbell tumors of the T1 nerve root that were treated with combined surgical treatment to remove the tumor. We first performed video-assisted thoracic surgery (VATS) to release the organs anteriorly and then performed posterior spinal surgery in the prone position. The combined VATS and posterior spinal surgery may become a standard surgical procedure for the treatment of dumbbell tumors of the T1 nerve root.

Keywords: Brachial plexus; Minimally invasive surgical procedures; Spinal cord tumor; Video-assisted thoracic surgery

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