Five per cent of lung cancers involve the parietal pleura and chest wall. En bloc resections improve survival. Lung resections via muscle-sparing chest incisions have minimized complications and hospital stay. We present a case in which we performed an en bloc lobectomy with chest wall resection and reconstruction through a muscle sparing minithoracotomy in a 48-year-old woman. She was discharged in the fourth postoperative day and remains tumor free and asymptomatic after 4 years.
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References
1.
McCaughanBC, MartiniN, BainsMS, McCormackPM. Chest wall invasion in carcinoma of the lung. J Thorac Cardiovasc Surg1985;89:836–41.
2.
ColemanFP. Primary carcinoma of the lung with invasion of the ribs: Pneumonectomy and simultaneous block resection of the chest wall. Ann Surg1947;126:156–68.
3.
TrastekVF, PairoleroPC, PiehlerJM, . En bloc (non-chest wall) resection for bronchogenic carcinoma with parietal fixation. J Thorac Cardiovasc Surg1984;87:352–8.
4.
BethencourtDM, HolmesEC. Muscle-sparing posterolateral thoracotomy. Ann Thorac Surg1988;45:337–9.
5.
AllenMS, MathisenDJ, GrilloHC, . Bronchogenic carcinoma with chest wall invasion. Ann Thorac Surg1991;51:948–51.
6.
PitzCCM, de la RiviereAB, ElbersHRJ, . Surgical treatment of 125 patients with non-small cell lung cancer and chest wall involvement. Thorax1996;51:846–50.
