Abstract
Superior sulcus tumors of the lung, while relatively rare, represent a unique and complex challenge in thoracic surgery. As they are often locally advanced at the time of diagnosis, surgical resection, when feasible, is often complex and multidisciplinary in nature and carries significant complication risks for the patient. We present two cases of superior sulcus tumors successfully resected following neoadjuvant chemoradiotherapy using a hybrid, video-assisted thoracoscopic surgery (VATS)-assisted, posterior, limited access incisional technique that will be described in detail. With appropriate patient selection and careful preoperative planning, this is a safe and feasible approach to locally advanced superior sulcus tumors of the lung.
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Acknowledgements
We are grateful to our colleagues, Dr. Peter Rose of Orthopedic Surgery and Dr. Robert Spinner of Neurologic Surgery, who routinely assist in multidisciplinary care of our most surgically complex thoracic oncology patients, both in the clinic and in the operating room.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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The authors declare that they have no conflict of interest.
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Knight, A.W., Blackmon, S.H. Novel hybrid approaches for superior sulcus tumors. Indian J Thorac Cardiovasc Surg 34 (Suppl 1), 27–35 (2018). https://doi.org/10.1007/s12055-017-0632-9
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DOI: https://doi.org/10.1007/s12055-017-0632-9