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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
[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
Summary
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:
- 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.
