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Ann Thorac Surg 2005;80:1143-1145
© 2005 The Society of Thoracic Surgeons

How to do it

A Median Sternotomy Approach to Right Extrapleural Pneumonectomy for Mesothelioma

Antonio E. Martin-Ucar, FRCS Ed, Duncan J. Stewart, FRCS, Kevin J. West, FRCA, David A. Waller, FRCS(CTh) *

Department of Thoracic Surgery, Glenfield Hospital, Leicester, United Kingdom

Accepted for publication April 1, 2004.

* Address reprint requests to Dr Waller, Department of Thoracic Surgery, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK. (Email: david.waller{at}uhl-tr.nhs.uk).

Although pulmonary resections have been performed through median sternotomy, this approach for extrapleural pneumonectomy in the management of malignant pleural mesothelioma has not been described. We assessed the feasibility of a median sternotomy approach as an alternative to thoracotomy in right-sided resections. Over a 15-month period, this approach was attempted in 10 cases. In 7 of them, the entire procedure was completed without additional thoracotomy access. There were no postoperative deaths in this group. At median follow-up of 8 months, we have not encountered tumor progression in the scars.




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