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Fig. 4 | World Journal of Surgical Oncology

Fig. 4

From: Extensive surgical resections for rare pleural neoplasms: a single-center experience with a yolk sac tumor and synovial sarcoma

Fig. 4

Step by step extended pleurectomy decortication with resection of the left hemi-diaphragm and partial pericardial resection followed by HITHOC and reconstruction. (A) Left sided thoracotomy with resection of the 6th rib, (B) Extrapleural pleurectomy; (C) Visualization of the pleural yolk sac tumor and decortication (D) Completion of the extrapleural pneumonectomy with left hemi-diaphragmatic and partial pericardial resection, (E) HITHOC setup, (F) Final result after diaphragmatic and pericardial reconstruction

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