[Outcomes of Surgical Treatment by Modified Transmanubrial Approach]
Shota Mitsuboshi1, Masato Kanzaki, Akira Ogihara
1Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.
Objective:
The aim of this study is to evaluate the useful and safety of surgical treatment by modified transmanubrial approach(MTA).
Methods:
Between January 2000 and May 2014, 10 patients underwent surgical treatment by MTA. Among these patients, we retrospectively reviewed the medical records of 6 patients who had vascular invasion of tumor. We evaluated postoperative outcomes of MTA.
Results:
All patients were men, with a median age of 56 years. Pathological diagnoses were as follows:thymic carcinoma in 2, thyroid cancer in 2, primary lung cancer in 1, mediastinal lymph node metastasis of thyroid cancer in 1 patient. The median operative time was 468 minutes. The median bleeding was 1,723.5 ml. Four patients underwent angioplasty, including direct suture in 1, graft replacement artificial blood vessel in 3 patients. Right auricle-innominate vein bypass was performed in 3 patients. The median hospitalization term was 29 days. R0 resection was archived in all cases.
Conclusion:
The surgical treatment by MTA is useful and safety for anterior apical tumor and mediastinal tumor invading adjacent vessels. Because of a small number of sample size, further investigation well be needed.
