A case of giant middle mediastinal tumor completely resected with visual field secured by initially dissecting right main bronchus

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  • Ohkuma Mari
    Department of General Thoracic Surgery, Juntendo University School of Medicine
  • Matsunaga Takeshi
    Department of General Thoracic Surgery, Juntendo University School of Medicine
  • Fukui Mariko
    Department of General Thoracic Surgery, Juntendo University School of Medicine
  • Hattori Aritoshi
    Department of General Thoracic Surgery, Juntendo University School of Medicine
  • Takamochi Kazuya
    Department of General Thoracic Surgery, Juntendo University School of Medicine
  • Suzuki Kenji
    Department of General Thoracic Surgery, Juntendo University School of Medicine

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  • 右主気管支の一度離断により安全に完全切除した巨大中縦隔腫瘍の1例

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Abstract

<p>The best approach to middle mediastinal tumors has not been clearly determined. Herein, we report a case of complete resection of a giant mediastinal tumor by transecting the right main bronchus. Middle mediastinal tumors appear between the left atrium and right main pulmonary artery. It is often difficult to dissect the tumor from the left atrium, aorta, or left main pulmonary artery. In this case, once we detached the right main bronchus, the view was secured, and the tumor could be successfully removed. After the tumor was removed, the severed right main bronchus was anastomosed. For large mediastinal tumors, transecting the right main bronchus allows good visual field development and safe removal of the tumor.</p>

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