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Ann Thorac Surg 1995;59:469-472
© 1995 The Society of Thoracic Surgeons

Articles

Combined microneurosurgical and thoracoscopic removal of neurogenic dumbbell tumors

MD Eric Vallières*, MD J. Max Findlay, MD Ronald E. Fraser

Divisions of Cardiothoracic Surgery and Neurosurgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada

Accepted for publication October 22, 1994.

* Address reprint requests to Dr Vallières, Division of Thoracic Surgery, Ottawa Civic Hospital, 1053 Carling Ave, Ottawa, Ont, K1Y 4E9, Canada.

The resection of posterior mediastinal dumbbell tumors has until now required laminectomy and some form of open access to the thoracic cavity. Over a 1-year period, a novel surgical approach combining posterior microneurosurgical and anterior video-assisted thoracoscopy techniques was used in 4 patients. In 3 patients, the tumor was removed successfully with minimal postoperative discomfort and rapid recovery. In the fourth patient, limited thoracotomy became necessary to control bleeding. This new approach, which combines modern-day neurosurgical and general thoracic surgical techniques, appears safe and could become the preferred method for removing most benign posterior mediastinal dumbbell tumors.




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