[Partial cervicosternotomy for resection of non-bronchogenic tumors of the thoracic outlet].

Abstract

OBJECTIVE\nTo improve the results of surgical treatment of cervico-mediastinal tumors by using of partial upper cervicosternotomy.\n\n\nMATERIAL AND METHODS\nA retrospective analysis included 24 patients who underwent resection of cervico-mediastinal tumors via partial upper cervicosternotomy for the period from January 2002 to December 2019. Immediate and intermediate postoperative outcomes were analyzed.\n\n\nRESULTS\nMean surgery time was 282.7 min, intraoperative blood loss - 325.0 ml. Duration of pleural cavity (mediastinum) drainage was 3 days, hospital-stay - 14 days. Major postoperative complications developed in 3 (12.5%) patients. No 90-day mortality was observed. No local relapses were detected throughout the follow-up period (median 36.1 months).\n\n\nCONCLUSION\nPartial cervicosternotomy is a safe and effective approach ensuring adequate visualization and reliable control of great vessels of the upper mediastinum and neck. This access is valuable for en-bloc resection of cervico-mediastinal tumors located in anterior and posterior parts of the thoracic inlet.