The anterior approaches proposed for treatment of the apical chest tumors (anterior transcervical, transmanubrial, and hemi-clamshell) have precise advantages and limits. To avoid these limits we have modified the hemi-clamshell with the resection of the first costal cartilage and the costoclavicular ligament. This allows a wider opening of the sternocostal flap, with safe control of the entire subclavian vessels as well as easier access to the T1 to T3 vertebral bodies and the posterior chest wall.

The modified "hemi-clamshell" approach for tumors of the cervicothoracic junction / Rusca, Michele; Carbognani, Paolo; Bobbio, P.. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - 69(6):(2000), pp. 1961-1963.

The modified "hemi-clamshell" approach for tumors of the cervicothoracic junction

RUSCA, Michele;CARBOGNANI, Paolo;
2000-01-01

Abstract

The anterior approaches proposed for treatment of the apical chest tumors (anterior transcervical, transmanubrial, and hemi-clamshell) have precise advantages and limits. To avoid these limits we have modified the hemi-clamshell with the resection of the first costal cartilage and the costoclavicular ligament. This allows a wider opening of the sternocostal flap, with safe control of the entire subclavian vessels as well as easier access to the T1 to T3 vertebral bodies and the posterior chest wall.
2000
The modified "hemi-clamshell" approach for tumors of the cervicothoracic junction / Rusca, Michele; Carbognani, Paolo; Bobbio, P.. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - 69(6):(2000), pp. 1961-1963.
File in questo prodotto:
File Dimensione Formato  
hemi-clamshell.pdf

non disponibili

Tipologia: Altro materiale allegato
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 377.6 kB
Formato Adobe PDF
377.6 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/1451082
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 18
  • ???jsp.display-item.citation.isi??? 13
social impact