Transmanubrial approach with antero-lateral thoracotomy for apical chest tumor

Transmanubrial osteomuscular sparing approach (TMA) has been recently propo sed for the treatment of apical chest tumor to allow a safer subclavian art ery control with a less invasive procedure for the patient. The present tec hnique combines the antero-lateral muscle-sparing thoracotomy with TMA for lung cancer patients in whom extended resection of cervico-thoracic structu res as well as anatomic lung resection and radical lymph nodes dissection a re required. (C) 1999 by The Society of Thoracic Surgeons.