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Related Experiment Video

Updated: Jun 17, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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[Radical surgery using modified open door method for anterior apical tumor].

Hiroyuki Oura1, H Niikawa, I Ishida

  • 1Department of Thoracic Surgery, Iwate Prefectural Central Hospital, Morioka, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|January 19, 2010
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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Immunohistochemical localization of beta-1,4-galactosyltransferase in human pancreatic tissues.

Pancreas·1999
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Changes in levels of 8-hydroxyguanine in DNA, its repair and OGG1 mRNA in rat lungs after intratracheal administration of diesel exhaust particles.

Carcinogenesis·1999
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Evaluation of serum lipid abnormalities in chronic nephritis.

Kidney international. Supplement·1999
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Distribution of ciprofloxacin into the central nervous system in rats with acute renal or hepatic failure.

The Journal of pharmacy and pharmacology·1999
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Subcellular localization of glucocorticoid receptor protein in the human kidney glomerulus.

Kidney international·1999
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Comparison of MR imaging with CT in depiction of tumour extension into the pterygopalatine fossa.

Clinical radiology·1999

A modified open door technique improved surgical access for anterior apical lung tumors invading the chest wall. This approach facilitated a complex resection, potentially reducing surgical invasiveness.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology

Background:

  • Surgical approaches for anterior apical lung tumors remain debated.
  • Tumor invasion into the thoracic wall presents unique surgical challenges.

Observation:

  • A modified open door technique was employed in a 66-year-old male with squamous cell carcinoma of the right anterior lung apex.
  • The procedure involved a midline sternal incision with a right unilateral collar incision, resecting the medial clavicle and first rib.

Findings:

  • This approach provided enhanced visualization of the surgical field, particularly around the suspected invasion site involving the brachiocephalic trunk and subclavicular vessels.
  • It enabled a safe right upper lobectomy combined with thoracic wall resection and lymph node dissection (ND2a).

Implications:

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  • The modified open door technique may offer a less invasive alternative to traditional anterolateral incisions for anterior apical tumors.
  • This method potentially minimizes surgical trauma and improves outcomes for complex lung cancer resections.