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 3 | Journal of Cardiothoracic Surgery

Figure 3

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

Figure 3

Chest wall reconstruction. After the specimens are removed, the chest wall defect is closed with a double layer of a Vicryl mesh. The mesh is initially secured to the transverse processes then to rib edges with interrupted 0-polyproplene sutures reinforced with a running looped 0-polydioxanone suture. Typically the first rib and first transverse process are not included in the patch to avoid contact with the brachial plexus or subclavian vessels.

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