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Related Experiment Videos

Resection of the manubrium

D F Harrison

    The British Journal of Surgery
    |May 1, 1977
    PubMed
    Summary

    Resecting upper airway tumors requires superior mediastinum access. A manubriectomy with sternoclavicular joint removal provides this access with minimal patient morbidity.

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    Area of Science:

    • Thoracic surgery
    • Surgical oncology
    • Head and neck surgery

    Background:

    • Resection of subglottic, cervical trachea, or cervical esophagus neoplasms necessitates access to the superior mediastinum.
    • Adequate surgical exposure is critical for complete tumor removal and lymph node dissection.

    Purpose of the Study:

    • To evaluate the efficacy and safety of manubriectomy combined with sternoclavicular joint resection for superior mediastinal exposure.
    • To assess the feasibility of this approach for complex upper airway tumor resections.

    Main Methods:

    • A surgical technique involving the removal of the manubrium sterni and both sternoclavicular joints was employed.
    • This procedure was performed in 22 patients undergoing resection for tumors of the larynx, cervical trachea, or cervical esophagus.

    Main Results:

    • The described surgical approach provided direct access to the superior mediastinum.
    • The operation was associated with minimal reported morbidity and long-term disability in the patient cohort.

    Conclusions:

    • Manubriectomy and sternoclavicular joint resection is a viable surgical option for achieving necessary superior mediastinal exposure.
    • This technique facilitates low tracheal resection and effective paratracheal lymph node clearance in head and neck cancer surgery.

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