Presentation is loading. Please wait.

Presentation is loading. Please wait.

En bloc resection of non-small cell lung cancer invading the thoracic inlet and intervertebral foramina  Elie Fadel, MD, Gilles Missenard, MD, Alain Chapelier,

Published bySheila Goodman Modified over 5 years ago

Similar presentations

Presentation on theme: "En bloc resection of non-small cell lung cancer invading the thoracic inlet and intervertebral foramina  Elie Fadel, MD, Gilles Missenard, MD, Alain Chapelier,"— Presentation transcript:

1 En bloc resection of non-small cell lung cancer invading the thoracic inlet and intervertebral foramina  Elie Fadel, MD, Gilles Missenard, MD, Alain Chapelier, MD, Sacha Mussot, MD, François Leroy-Ladurie, MD, Jacques Cerrina, MD, Philippe Dartevelle, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 123, Issue 4, Pages (April 2002) DOI: /mtc Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 MRI showing NSCLC invading right thoracic inlet and intervertebral foramen along T1 nerve root (arrow). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 A, Right NSCLC invading thoracic inlet and first two thoracic intervertebral foramina along T1 and T2 nerve roots. B, First step of procedure is anterior transcervical approach that permits assessment of resectability and dissection of tumor in tumor-free margins. Anterior aspect of spine is approached from T1 to T2, and midline groove is made along involved vertebrae to facilitate hemicorporectomy during posterior approach of spine. C, Posterior midline approach is then performed, extending from spinal processes of C7 to T4. After laminectomy of T1 to T3, T1 and T2 nerve roots are divided inside spinal canal. Hemicorporectomy of T1 to T3 and spinal fixation are finally performed. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Specimen showing en bloc resected NSCLC invading thoracic inlet and intervertebral foramen (arrow) along thoracic nerve root. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Postoperative chest radiograph showing spinal fixation with hook in pedicle above and below hemivertebrectomy. On other side, screw or hook is implanted in each pedicle. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

6 Fig. 5 MRI performed 5 years after tumoral resection, showing spinal fixation with hooks, clavicle interposed between remaining vertebral bodies to strengthen spinal fixation, and absence of local recurrence. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

7 Fig. 6 Survival curve for patients with NSCLC invading thoracic inlet and at least 2 intervertebral foramina. Vertical bars indicate SE. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Download ppt "En bloc resection of non-small cell lung cancer invading the thoracic inlet and intervertebral foramina  Elie Fadel, MD, Gilles Missenard, MD, Alain Chapelier,"

Similar presentations

Resection of ascending aortic aneurysm without use of an interposition aortic graft John S. Ikonomidis, MD, PhD, FRCS(C), Abe DeAnda, MD, D.Craig Miller,

Resection of ascending aortic aneurysm without use of an interposition aortic graft John S. Ikonomidis, MD, PhD, FRCS(C), Abe DeAnda, MD, D.Craig Miller,
Pathologic N1 non-small cell lung cancer: Correlation between pattern of lymphatic spread and prognosis Alessandro Marra, MD, PhD, Ludger Hillejan, MD,

Pathologic N1 non-small cell lung cancer: Correlation between pattern of lymphatic spread and prognosis Alessandro Marra, MD, PhD, Ludger Hillejan, MD,
Anterior cervicothoracic approach to the superior sulcus for radical resection of lung tumor invading the thoracic inlet  Philippe Dartevelle, Sacha Mussot 

Anterior cervicothoracic approach to the superior sulcus for radical resection of lung tumor invading the thoracic inlet  Philippe Dartevelle, Sacha Mussot 
Extended Operations for T3-T4 Primary Lung Cancers

Extended Operations for T3-T4 Primary Lung Cancers
Stephen R. Broderick, MD, MPHS 

Stephen R. Broderick, MD, MPHS 
Anterior transclavicular approach to malignant tumors of the thoracic inlet: Importance of the scapulothoracic articulation  Marc de Perrot, MD, Raja.

Anterior transclavicular approach to malignant tumors of the thoracic inlet: Importance of the scapulothoracic articulation  Marc de Perrot, MD, Raja.
Surgical approaches to apical thoracic malignancies

Surgical approaches to apical thoracic malignancies
Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer  Lei Wang, MD,

Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer  Lei Wang, MD,
Surgical resection of an intravascular superior vena cava primary lipoma  Pierre Mordant, MD, Olaf Mercier, MD, Elie Fadel, MD, PhD, Ashok Muniappan, MD,

Surgical resection of an intravascular superior vena cava primary lipoma  Pierre Mordant, MD, Olaf Mercier, MD, Elie Fadel, MD, PhD, Ashok Muniappan, MD,
One in every 14 patients with early-stage lung cancer is not being treated!  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular Surgery 

One in every 14 patients with early-stage lung cancer is not being treated!  Benny Weksler, MD, MBA  The Journal of Thoracic and Cardiovascular Surgery 
Effect of tumor size on prognosis in patients with non–small cell lung cancer: The role of segmentectomy as a type of lesser resection  Morihito Okada,

Effect of tumor size on prognosis in patients with non–small cell lung cancer: The role of segmentectomy as a type of lesser resection  Morihito Okada,
Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis  Paolo Macchiarini, MD, PhDa, Jean-Philippe Verhoye,

Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis  Paolo Macchiarini, MD, PhDa, Jean-Philippe Verhoye,
Anterior cervicothoracic approach to the superior sulcus for radical resection of lung tumor invading the thoracic inlet  Philippe Dartevelle, Sacha Mussot 

Anterior cervicothoracic approach to the superior sulcus for radical resection of lung tumor invading the thoracic inlet  Philippe Dartevelle, Sacha Mussot 
En Bloc Resection of Thoracic Tumors Involving the Spine

En Bloc Resection of Thoracic Tumors Involving the Spine
Resection of Superior Sulcus Tumors: Anterior Approach

Resection of Superior Sulcus Tumors: Anterior Approach
Changes in the treatment of Pancoast tumors

Changes in the treatment of Pancoast tumors
Impact of tumor size on outcomes after anatomic lung resection for stage 1A non–small cell lung cancer based on the current staging system  Shamus R.

Impact of tumor size on outcomes after anatomic lung resection for stage 1A non–small cell lung cancer based on the current staging system  Shamus R.
Radical en bloc resection for lung cancer invading the spine

Radical en bloc resection for lung cancer invading the spine
Long-Term Outcomes of En Bloc Resection of Non-Small Cell Lung Cancer Invading the Thoracic Inlet and Spine  Elie Fadel, MD, Gilles Missenard, MD, Charles.

Long-Term Outcomes of En Bloc Resection of Non-Small Cell Lung Cancer Invading the Thoracic Inlet and Spine  Elie Fadel, MD, Gilles Missenard, MD, Charles.
En Bloc Resection of Thoracic Tumors Involving the Spine

En Bloc Resection of Thoracic Tumors Involving the Spine

Similar presentations

Ads by Google