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Clamshell incision approach for giant teratoma
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|June 11, 2020
Summary
The clamshell incision, a rare surgical approach, was used to remove a giant mediastinal teratoma. This video demonstrates the clamshell approach for large mediastinal masses when other methods are insufficient.
Area of Science:
- Cardiothoracic Surgery
- Surgical Oncology
- Thoracic Surgery
Background:
- The clamshell incision, a historical transsternal approach, was largely replaced by median sternotomy.
- It remains relevant for specific indications like cardiothoracic trauma and double lung transplants.
- This approach is rarely utilized for large mediastinal tumors requiring complete resection.

