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Thoracic Aorta

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...

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Transaxillary access to aortopulmonary window and paraaortic nodes.

Alberto Terzi¹, Andrea Viti², Luca Bertolaccini³

¹Department of Surgery, Section of Thoracic Surgery, Sacro Cuore Hospital, Negrar, Verona, Italy.

Asian Cardiovascular & Thoracic Annals

|June 3, 2014

Summary

This study presents a minimally invasive transaxillary approach for biopsying paraaortic and aortopulmonary window nodes. The technique offers improved visualization and is safe, quick, cosmetic, and painless compared to standard methods.

Keywords:

Biopsy Lung neoplasms Lymph nodes Neoplasm staging Thoracic surgery video-assisted

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Published on: March 26, 2018

Area of Science:

Thoracic Surgery
Minimally Invasive Procedures
Surgical Oncology

Background:

Biopsy of paraaortic and aortopulmonary window nodes is crucial for cancer staging.
Standard procedures may involve multiple ports and limited visualization.
Alternative minimally invasive techniques are needed.

Purpose of the Study:

To describe a novel transaxillary video-assisted thoracic surgery (VATS) approach for node biopsy.
To evaluate the safety, efficacy, and cosmetic outcomes of this technique.

Main Methods:

A minimally invasive VATS procedure utilizing a transaxillary approach was performed.
The technique focuses on accessing paraaortic and aortopulmonary window lymph nodes.
Comparison with the standard 3-ports procedure was considered.

Main Results:

The transaxillary route provided excellent visualization of the target anatomical regions.
The procedure was demonstrated to be safe and rapid.
The technique resulted in favorable cosmetic outcomes and was reported as painless.

Conclusions:

The transaxillary VATS approach is a viable and advantageous alternative for biopsying paraaortic and aortopulmonary window nodes.
This method enhances surgical visualization and patient experience.
It represents a safe, quick, and cosmetic option for thoracic node biopsy.