Abstract
Using a right-sided supraclavicular approach, we operated on a 15-year-old girl with
a posterior mediastinal neurogenic tumor and von Recklinghausen's disease. The encapsulated
95 × 65 × 40 mm neurofibroma was removed safely and completely without thoracotomy.
No peripheral neurologic defect such as Horner's syndrome, paralysis of accessory
nerve, or palsy of the right upper extremity was observed after operation. The postoperative
course was uneventful and the patient was discharged on the third postoperative day
with no symptoms. Today, various adaptations of video-assisted thoracic surgery are
frequently utilized for many lesions. However, more direct, safer, and less invasive
approaches should be selected based on local anatomy, such as the supraclavicular
approach without thoracotomy that we utilized.
Key words
Supraclavicular - approach - mediastinum - posterior mediastinal tumor - neurogenic
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Dr. S. Watanabe
The Second Department of Surgery, Kagoshima University Faculty of Medicine
8-35-1 Sakuragaoka
Kagoshima 890-8520
Japan
Telefon: + 81992755368
Fax: + 81 9 92 65 81 77
eMail: shun@khosp2.kufm.kagoshima-u.ac.jp