Scholarlink

Background <p>This study aims to evaluate the efficacy and safety of the hybrid approach in the management of superior sulcus (Pancoast) tumors, based on a clinical case and a review of the relevant literature.</p> Case presentation <p>A 56-year-old male patient with right superior sulcus tumor (SST) (pT3N0M0, stage IIB) was reported. After fully mobilizing the tumor and protecting key structures via a half-clamshell incision partial sternotomy, right upper lobectomy and systematic lymph node dissection were successfully completed under video-assisted thoracoscopic surgery (VATS). The intraoperative blood loss was approximately 500&#xa0;mL, and the procedure was completed without any complications. The patient resumed ambulation on the fourth postoperative day and recovered uneventfully. At the 2-year follow-up, he remained in good condition with no evidence of recurrence or metastasis.</p> Literature review <p>A systematic review identified 8 studies reporting 12 patients who underwent anterior thoracotomy combined with VATS for SST. Including the present case, 13 patients were analyzed. The mean age was 57.15&#xa0;years old. Rib resection (predominantly the first rib) was performed in 84.6% (11/13) of cases. The postoperative complication rate was 23.1% (3/13), including atelectasis with phrenic nerve palsy (n = 1), high fever (n = 1), and mild upper limb edema (n = 1). At a median follow-up of 12&#xa0;months (range: 6–58&#xa0;months), no local recurrence was observed.</p> Conclusion <p>The integration of VATS with an anterior approach represents a safe and effective strategy for the resection of SST. Its incorporation into a multidisciplinary treatment protocol is recommended, especially for patients with early-stage, resectable disease.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A minimally invasive hybrid approach to a complex challenge: VATS resection for superior sulcus tumor with literature review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月19日

查看全文
  • Xin Li

摘要

Background

This study aims to evaluate the efficacy and safety of the hybrid approach in the management of superior sulcus (Pancoast) tumors, based on a clinical case and a review of the relevant literature.

Case presentation

A 56-year-old male patient with right superior sulcus tumor (SST) (pT3N0M0, stage IIB) was reported. After fully mobilizing the tumor and protecting key structures via a half-clamshell incision partial sternotomy, right upper lobectomy and systematic lymph node dissection were successfully completed under video-assisted thoracoscopic surgery (VATS). The intraoperative blood loss was approximately 500 mL, and the procedure was completed without any complications. The patient resumed ambulation on the fourth postoperative day and recovered uneventfully. At the 2-year follow-up, he remained in good condition with no evidence of recurrence or metastasis.

Literature review

A systematic review identified 8 studies reporting 12 patients who underwent anterior thoracotomy combined with VATS for SST. Including the present case, 13 patients were analyzed. The mean age was 57.15 years old. Rib resection (predominantly the first rib) was performed in 84.6% (11/13) of cases. The postoperative complication rate was 23.1% (3/13), including atelectasis with phrenic nerve palsy (n = 1), high fever (n = 1), and mild upper limb edema (n = 1). At a median follow-up of 12 months (range: 6–58 months), no local recurrence was observed.

Conclusion

The integration of VATS with an anterior approach represents a safe and effective strategy for the resection of SST. Its incorporation into a multidisciplinary treatment protocol is recommended, especially for patients with early-stage, resectable disease.