目的 克服经后外侧切口切除Pancoast瘤时术野暴露不良、操作因难的弊病。方法 切断患侧锁骨,切开锁骨床游离锁骨下血管和臂丛神经,切开第二肋床入胸,以此胸前切口辅佐后外侧切口,进行胸腔内切除操作。讨论 由于直视下解剖癌肿最易侵及的血管神经,提高了手术的安全性;前后两个切口相配合,剥离操作省力。 Objective To overcome the shortcomings of poor operation and difficulty of operation in the operation field when the Pancoastal tumor is removed through the posterolateral incision. Methods The ipsilateral clavicle was excised, the free subclavian blood vessels and brachial plexus nerves were cut open in the clavicle bed, and the second ribbed bed was incised into the chest. This chest incision was used to assist the posterolateral incision for intrathoracic resection. Discussion As the anatomy of the anatomy of the most easily invaded vascular nerves, to improve the safety of the operation; before and after the two incisions, the peeling operation effort.