The Figure-L Unilateral Transternal Incision for the Treatment of Anterior Mediastinal Tumor

VernacularTitle:经胸骨L形切口手术切除前纵隔肿瘤的可行性探讨
Author: Xihai XIE
Publication Type:Journal Article
Keywords: Mediastina Neoplasms; Surgical procedures
From: Chinese Journal of Primary Medicine and Pharmacy 2009;16(5):808-809
CountryChina
Language:Chinese
Abstract: Objective To explore the feasibility of the small figure-L unilateral transternal incision for the treatment of anterior mediastinal tumor and cyst. Methods Eighteen patients with anterior mediastinal tumor or cyst were enrolled in the study. Under general anesthesia, after a 8 to 10 cm middle skin incision was made, a unilateral figure-L partial sternotomy on the side occupied by the tumors was made in the third or forth intercestals space,taking into account the tumors size and location. Tumors were resected with excellent exposure. Results All but one tumors were completely resected during the operation. In 3 cases,tumors encroached on the adjacent lung tissue,and lung tissue was partially resected. In 2 cases, tumors invaded the pericardium, and the pericardium was partially removed.Mean operating time was 120 minutes( 80～140 minutes). The mean time of hospital stay was 10 days after the operation, and there was no complications. All patients were alive with a mean follow-up period of 24 months ( 8～36 months). Conclusion The figure-L unilateral sternotomy is an effective and useful minimally invasive approach for anterior mediastinal tumors.