Surgical resection after chemoradiotherapy with strict patient selection is an established treatment for superior sulcus tumors. Several surgical approaches have been described, but surgery for superior sulcus tumors is still a challenge. Among the approaches, the anterior transmanubrial approach has been reported to provide good access to apical chest tumors. A technique for video-assisted thoracic surgery combined with the anterior transmanubrial approach for superior sulcus tumor is reported.
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