100 days). Additionally, five year survival for the "cut-in patch-out" group was 48% versus the traditional group at 12.5% (p = 0.04). Conclusions Compared with a traditional thoracotomy and separate chest wall resection approach for P-NSCLC, a "cut-in patch-out" technique offers an alternative approach that appears to have at least oncologic equivalence while decreasing pain. We have more recently adapted this technique to select patients with pulmonary neoplasms involving chest wall invasion and believe further investigation is warranted."/>
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Figure 1 | Journal of Cardiothoracic Surgery

Figure 1

From: The "cut-in patch-out" technique for Pancoast tumor resections results in postoperative pain reduction: a case control study

Figure 1

The "cut-in patch-out" technique. The pleural space is initially entered in the lowest tumor free interspace typically 3 to 5 cm anterior and inferior to the tumor location, as determined by preoperative CT scan, then extended posteriorly. The anterior aspect of the chest resection was then performed 3 to 5 cm anterior to the tumor location facilitated by upward scapular retraction. A one cm segment of rib is excised anteriorly to improve chest wall mobility.

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