{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:38:04Z","timestamp":1780587484577,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"20","license":[{"start":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T00:00:00Z","timestamp":1629676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Paraspinal tumors are rare neoplasms arising from neurogenic elements of the posterior mediastinum and surgical resection can be challenging. Here, we demonstrate feasibility and outcomes from the first European case series of combined laminectomy and video\u2010assisted thoracoscopic surgery (VATS) resection of thoracic neurogenic dumbbell tumors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of all combined thoracic dumbbell tumor resections performed at our institution between March 2015 to February 2019 was undertaken. Outcomes included operative time, blood loss, length of stay and recurrence rate. Statistical analysis was performed with SPSS statistics (v26). Values are given as mean\u2009\u00b1\u2009standard deviation and median\u2009\u00b1\u2009interquartile range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven patients were included in the case series and there were no major complications or mortality. Mean tumor size and operative time were 66 (\u00b1\u200935) mm and 171 (\u00b1\u200963)\u00a0min, respectively. Median blood loss and length of stay were 40 (\u00b1\u200970)\u00a0ml and four (\u00b1\u20093) days, respectively. One patient required conversion to thoracotomy to remove a tumor of 135\u2009mm in maximal dimension. Histology in all seven cases confirmed schwannoma. There was no disease recurrence at a maximum follow\u2010up of 54\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our experience demonstrates favorable operative times, minimal blood loss and short length of stay when dealing with relatively large tumors compared to previous reports. Thoracotomy may be required for tumors exceeding 90\u2009mm and chest drain removal on the operative day can facilitate early mobility and discharge. We advocate a combined, minimally invasive laminectomy and VATS resection as the gold\u2010standard approach for thoracic neurogenic dumbbell tumors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14122","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T09:55:43Z","timestamp":1629712543000},"page":"2767-2772","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Combined minimally invasive resection of thoracic neurogenic dumbbell tumors: A <scp>European<\/scp> case series"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6396-6708","authenticated-orcid":false,"given":"Oliver J.","family":"Harrison","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3674-3928","authenticated-orcid":false,"given":"Adnan","family":"Bakir","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin H.","family":"Chamberlain","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Nader\u2010Sepahi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid M.","family":"Amer","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,23]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"353","article-title":"Dumbbell neurogenic tumors of the mediastinum. 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