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Transmanubrial Approach Combined With Video-Assisted Approach for Superior Sulcus Tumors

Department of Thoracic Surgery, Kyoto City Hospital, Kyoto, Japan

Accepted for publication April 2, 2012.

^_* Address correspondence to Dr Miyahara, Department of Thoracic Surgery, Kyoto City Hospital, 1-2 Mibu-higashi-takadacho Chuo-ku, Kyoto 604-8845, Kyoto, Japan (Email: rmiyahar{at}kuhp.kyoto-u.ac.jp).

Surgical resection after chemoradiotherapy with strict patient selection is an established treatment for superior sulcus tumors. Several surgical approaches have been described, but surgery for superior sulcus tumors is still a challenge. Among the approaches, the anterior transmanubrial approach has been reported to provide good access to apical chest tumors. A technique for video-assisted thoracic surgery combined with the anterior transmanubrial approach for superior sulcus tumor is reported.