PMID- 16871151
OWN - NLM
STAT- MEDLINE
DCOM- 20061101
LR  - 20060727
IS  - 0026-4733 (Print)
IS  - 0026-4733 (Linking)
VI  - 61
IP  - 2
DP  - 2006 Apr
TI  - Extended bilateral mediastinal dissection via a limited thoracotomy for 
      right-lung cancer.
PG  - 177-80
AB  - In non small cell lung cancer (NSCLC) patients undergoing surgery after induction 
      chemotherapy, all mediastinal lymphnodes potentially involved by tumor should be 
      resected whenever possible. Paratracheal bilateral lymphadenectomy for left sided 
      tumors can be disabling, i.e. median sternotomy plus a thoracotomy to reach the 
      subcarinal region. From the right side, an extensive ipsilateral dissection is 
      feasible through a standard thoracotomy, but contralateral lymphnodes, especially 
      in the left hilum and aortopulmonary window are considered inaccessible. A 
      technical tip is shown to reach and dissect the left paratracheal and 
      aortopulmonary window nodes through a simple right thoracotomy in right-lung 
      cancer. The procedure has been carried out in 3 cases and proved to be 
      technically feasible. The value of such a procedure as to staging accuracy, local 
      disease control and survival should be evaluated in a clinical trial setting.
FAU - Infante, M
AU  - Infante M
AD  - Unit of Thoracic Surgery Humanitas Hospital, Rozzano, Milan, Italy. 
      maurizio.infante@humanitas.it
FAU - Cariboni, U
AU  - Cariboni U
FAU - Alloisio, M
AU  - Alloisio M
FAU - Testori, A
AU  - Testori A
FAU - Cioffi, U
AU  - Cioffi U
FAU - Bottoni, E
AU  - Bottoni E
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - Minerva Chir
JT  - Minerva chirurgica
JID - 0400726
SB  - IM
MH  - Humans
MH  - Lung Neoplasms/*surgery
MH  - Lymph Node Excision/*methods
MH  - Mediastinum/*surgery
MH  - Pneumonectomy/*methods
MH  - Thoracotomy/*methods
EDAT- 2006/07/28 09:00
MHDA- 2006/11/02 09:00
CRDT- 2006/07/28 09:00
PHST- 2006/07/28 09:00 [pubmed]
PHST- 2006/11/02 09:00 [medline]
PHST- 2006/07/28 09:00 [entrez]
PST - ppublish
SO  - Minerva Chir. 2006 Apr;61(2):177-80.