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Treatment of pancoast tumors from the surgeons prospective: re-appraisal of the anterior-manubrial sternal approach

Haralabos Parissis1* and Vincent Young2

Author Affiliations

1 Cardiothoracic Dept, Royal Victoria Hospital, Belfast, Northern Ireland

2 Cardiothoracic Dept, St James Hospital, Dublin 8, Dublin, Ireland

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Journal of Cardiothoracic Surgery 2010, 5:102  doi:10.1186/1749-8090-5-102

Published: 4 November 2010


Pancoast tumours are now amenable to multimodality treatment with an acceptable survival. This is because trimodality treatment improves tumor sterilization and hence outcome. Moreover the development of an anterior approach to access the tumor, further improved the technical challenges for a sound resection.

The Anterior-manubrial sternal approach was described more than a decade ago and although this method facilitates better exposure of the extreme apex of the lung, brachial plexus and subclavian vessels, its popularity has not reached high levels. We felt that by re-addressing this topic we would stimulate reconsideration of the anterior approach.