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Miscellaneous Indications of the Transcervical Approach to the Mediastinum

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The Transcervical Approach in Thoracic Surgery

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Abstract

The transcervical route is a traditional approach to the mediastinum for staging of non-small cell lung cancer, diagnosis of masses of unknown origin, and resection of the thymus. Also, the transcervical approach may be an adequate surgical access either alone or in combination with different techniques in the management of other mediastinal disorders. This procedure can be used to total removal of tumors located in the middle and anterosuperior mediastinum, such as cysts or ectopic parathyroid adenomas. Cervical and mediastinal debridement and drainage is the first therapeutic option and, sometimes, the only elective treatment in patients with descending necrotizing mediastinitis confined to the superior mediastinum. The transcervical approach is considered to be a safe and minimally invasive procedure, but a thoracic surgeon with experience in both open and endoscopic access to the mediastinum is required for success.

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Authors and Affiliations

  1. Service of Thoracic Surgery, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Plaza Dr. Robert 5, 08221, Terrassa, Barcelona, Spain

    Josep Belda-Sanchis MD, PhD, Manuela Iglesias-Sentís MD & Elisabeth Martínez-Téllez MD

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  1. Josep Belda-Sanchis MD, PhD
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  2. Manuela Iglesias-Sentís MD
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  3. Elisabeth Martínez-Téllez MD
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Correspondence to Josep Belda-Sanchis MD, PhD .

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Editors and Affiliations

  1. Thoracic Surgery, Pulmonary Hospital, Zakopane, Poland

    Marcin Zieliński

  2. Thoracic Surgery Service, University Hospital Mutua Terrassa, Terrassa, Spain

    Ramón Rami-Porta

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Belda-Sanchis, J., Iglesias-Sentís, M., Martínez-Téllez, E. (2014). Miscellaneous Indications of the Transcervical Approach to the Mediastinum. In: Zieliński, M., Rami-Porta, R. (eds) The Transcervical Approach in Thoracic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54565-8_15

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  • DOI: https://doi.org/10.1007/978-3-642-54565-8_15

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