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Surgical Case Reports
Fig. 4 | Surgical Case Reports

Fig. 4

From: Robot-assisted thoracoscopic resection of a posterior mediastinal tumor with preserving the artery of Adamkiewicz

Fig. 4

Well-circumscribed large paravertebral tumor, which originated from the sympathetic trunk, was identified (left upper and right upper). The nerve of origin was divided from the sympathetic trunk (right upper). Tumor-feeding arteries arose from the 9th intercostal artery (ICA) were dissected with preserving the artery of Adamkiewicz (AKA) (left lower). Complete tumor resection was achieved by robot-assisted thoracic surgery (RATS) with preserving the AKA as well as the 9th ICA and intercostal vein (ICV) (right lower). T11, 11th thoracic vertebra; AKA artery of Adamkiewicz, ICA intercostal artery, ICV intercostal vein

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