Cloward's approach for Pancoast neurogenic tumors: illustrative cases.
J Neurosurg Case Lessons
; 1(23): CASE2065, 2021 Jun 07.
Article
em En
| MEDLINE
| ID: mdl-36046516
ABSTRACT
BACKGROUND:
Pancoast tumors are a wide range of tumors located in the apex of the lung. Traditional surgery for Pancoast neurogenic tumors frequently involves extensive approaches, whether anterior or posterior or a combination, in which osteotomies are sometimes required. In this study, the authors proposed a less invasive surgical strategy using the standard Cloward's approach for complete resection of a schwannoma arising from the T1 nerve root. OBSERVATIONS Two patients, each harboring a large T1 tumor, one on each side, underwent Cloward's approach with and without thoracoscopic surgery. Both patients had complete resection of the tumor. Considering the benign and encapsulated nature of neurogenic tumors, Cloward's approach under neuromonitoring, which is a common procedure for anterior cervical discectomy for most neurosurgeons, is a safe and less invasive alternative for Pancoast neurogenic tumors. For patients whose tumor cannot be removed completely via Cloward's approach, video-assisted thoracoscopic surgery is a viable backup plan with minimal invasiveness. LESSONS Cloward's approach is a viable option for Pancoast neurogenic tumors.
ACDF = anterior cervical discectomy and fusion; CUSA = cavitron ultrasonic surgical aspirator; Cloward's approach; EMG = electromyography; MEP = motor evoked potential; MRI = magnetic resonance imaging; Pancoast tumor; SSEP = somatosensory evoked potential; VATS = video-assisted thoracoscopic surgery; neurogenic tumor
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article