Access to the superior mediastinum

Surgical access for diseases that involve the superior mediastinum can be achieved without thoracotomy by utilizing the suprasternal approach with extension of the head and neck and transection of the interclavicular ligament, median sternotomy, resection of the medial third to one half of the clavi...

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Veröffentlicht in:The American journal of surgery 1995-03, Vol.169 (3), p.348-354
Hauptverfasser: Loré, John M., Martin, Pierre T., Koch, R. James, Sittitrai, Pichit, Sundquist, Nan
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container_end_page 354
container_issue 3
container_start_page 348
container_title The American journal of surgery
container_volume 169
creator Loré, John M.
Martin, Pierre T.
Koch, R. James
Sittitrai, Pichit
Sundquist, Nan
description Surgical access for diseases that involve the superior mediastinum can be achieved without thoracotomy by utilizing the suprasternal approach with extension of the head and neck and transection of the interclavicular ligament, median sternotomy, resection of the medial third to one half of the clavicle, or resection of the manubrium sterni. There has been minimal morbidity and no operative or postoperative mortality in a review of 53 consecutive patients. There has been no significant disability. Combined with exposure at the base of the neck, the access to the superior mediastinum is good to excellent.
doi_str_mv 10.1016/S0002-9610(99)80174-3
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Biological and medical sciences
Clavicle
Clavicle - surgery
Humans
Mediastinal Diseases - surgery
Mediastinum
Medical sciences
Miscellaneous
Morbidity
Postoperative Complications - etiology
Sternum - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Suture Techniques
Thoracotomy
title Access to the superior mediastinum
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