Abstract
We describe a successful resection of the main pulmonary artery (MPA) using an intrapericardial approach via a median sternotomy in a patient with large hilar non-small cell lung cancer (NSCLC) invading the left MPA and Botallo's ligament. This approach was able to provide a good operative view even for the large hilar tumor, with easier and safer resection of the MPA, unlike the anteroaxial or posterolateral approach. This approach is a useful option for easy, safe and complete surgical resection in patients with NSCLC invading the MPA.
MeSH terms
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Angiography
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Carcinoma, Non-Small-Cell Lung / diagnostic imaging
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Carcinoma, Non-Small-Cell Lung / pathology
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Carcinoma, Non-Small-Cell Lung / surgery*
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Carcinoma, Squamous Cell / diagnostic imaging
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / surgery*
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Humans
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Imaging, Three-Dimensional
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Lung Neoplasms / diagnostic imaging
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Lung Neoplasms / pathology
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Lung Neoplasms / surgery*
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Male
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Middle Aged
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Neoplasm Invasiveness
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Pericardium / surgery
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Pulmonary Artery / pathology
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Pulmonary Artery / surgery*
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Sternotomy / methods*
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Tomography, X-Ray Computed