Fig. 4From: Extensive surgical resections for rare pleural neoplasms: a single-center experience with a yolk sac tumor and synovial sarcomaStep 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 reconstructionBack to article page