{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:58Z","timestamp":1753876198089,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The transmanubrial musculoskeletal sparing approach (TMA) is commonly used for resecting apical lung tumours with vascular involvement. Non-neoplastic conditions which might require surgical exploration of the thoracic outlet include the \u2018cervical rib\u2019, a clinical condition consisting of an additional rib forming above the first rib and growing from the base of the neck just above the clavicle. Type 1 cervical rib\u2014when a complete cervical rib articulates with the first rib or manubrium of the sternum\u2014is the most challenging scenario where the subclavian artery can be damaged by continuous compression due to the narrow space between clavicle, first rib and supernumerary cervical rib, requiring prosthetic reconstruction of the involved tract. Here, we describe a modified TMA in which the incision in the neck is conducted posteriorly to the sternocleidomastoid muscle, thus allowing safe dissection of the superior and middle trunk of the brachial plexus.<\/jats:p>","DOI":"10.1093\/ejcts\/ezae019","type":"journal-article","created":{"date-parts":[[2024,1,14]],"date-time":"2024-01-14T03:22:15Z","timestamp":1705202535000},"source":"Crossref","is-referenced-by-count":1,"title":["Modified transmanubrial approach for complicated type 1 cervical rib resection requiring subclavian artery reconstruction"],"prefix":"10.1093","volume":"65","author":[{"given":"Francesco","family":"Petrella","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Rossi","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arianna","family":"Gatto","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorio Maria","family":"Segramora","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Del Bene","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Froio","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Fondazione IRCCS San Gerardo dei Tintori , Monza, Italy"},{"name":"Department of Medicine and Surgery, University of Milano-Bicocca , Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,13]]},"reference":[{"key":"2024013022292972000_ezae019-B1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0003-4975(96)01023-5","article-title":"Transmanubrial osteomuscular sparing approach for apical chest tumors","volume":"63","author":"Grunenwald","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"2024013022292972000_ezae019-B2","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/S0022-5223(19)33774-2","article-title":"Anterior transcervical-thoracic approach for radical resection of lung tumors invading the thoracic inlet","volume":"105","author":"Dartevelle","year":"1993","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024013022292972000_ezae019-B3","doi-asserted-by":"crossref","first-page":"3995","DOI":"10.21037\/jtd-20-288B","article-title":"Reverse \"L\" surgical approach for the management of giant tumors of the cervicothoracic junction","volume":"12","author":"Zhong","year":"2020","journal-title":"J Thorac Dis"},{"key":"2024013022292972000_ezae019-B4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.21037\/jtd-20-3003","article-title":"An extended modification of transmanubrial osteomuscular sparing approach: salvage resection for recurrent superior sulcus lung cancer after definitive chemoradiotherapy","volume":"13","author":"Sakakura","year":"2021","journal-title":"J Thorac Dis"},{"key":"2024013022292972000_ezae019-B5","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1111\/coa.13972","article-title":"The modified transmanubrial approach in thyroid malignant tumours: an optimal and less invasive surgical option","volume":"47","author":"Girotti","year":"2022","journal-title":"Clin Otolaryngol"},{"volume-title":"StatPearls 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