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 2 | Journal of Cardiothoracic Surgery

Figure 2

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

Figure 2

Rib disarticulation and hilar dissection. The ribs are disarticulated posteriorly from their respective transverse processes and vertebral bodies. After chest wall resection is complete, hilar dissection including division of lobar vessels and airways for lobectomy along with complete peribronchial and mediastinal lymph node dissection is performed through the chest wall defect itself facilitated with the use of endoscopic stapling devices.

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