Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Subxiphoid approach for thoracoscopic thymectomy.

C-P Hsu1

  • 1Division of Thoracic Surgery, Department of Surgery, Taichung Veterans General Hospital, 160, Sec 3, Taichung-Kang Road, Taichung Taiwan, ROC.

Surgical Endoscopy
|May 4, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

One-year outcome of retrograde vascular access in peripheral arterial disease of Asian origin.

Clinical radiology·2025
Same author

Prognostic impact of circumferential resection margin in esophageal cancer with or without neoadjuvant chemoradiotherapy.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2020
Same author

Risk factors for liver abscess formation in patients with blunt hepatic injury after non-operative management.

European journal of trauma and emergency surgery : official publication of the European Trauma Society·2016
Same author

Exploratory modeling and simulation to support development of motesanib in Asian patients with non-small cell lung cancer based on MONET1 study results.

Clinical pharmacology and therapeutics·2014
Same author

Activation of transient receptor potential vanilloid 1 decreases endothelial nitric oxide synthase phosphorylation at Thr497 by protein phosphatase 2B-dependent dephosphorylation of protein kinase C.

Acta physiologica (Oxford, England)·2013
Same author

Thioflavin T and its photoirradiative derivatives: exploring their spectroscopic properties in the absence and presence of amyloid fibrils.

The journal of physical chemistry. B·2013
Same journal

Disparities in robot utilization in colorectal surgery: the widening gap.

Surgical endoscopy·2026
Same journal

Ergonomic impact of a passive upper-limb exoskeleton on surgeon workload during laparoscopic tasks: a crossover experimental study.

Surgical endoscopy·2026
Same journal

SAGES systematic review and meta-analysis for the management of symptomatic walled-off pancreatic necrosis.

Surgical endoscopy·2026
Same journal

Deep learning-based automatic identification model of main pancreatic duct in intraoperative ultrasonography.

Surgical endoscopy·2026
Same journal

Weight matters: long-term evaluation of weight regain and fistula recurrence post endoscopic ultrasound-directed transgastric ERCP (EDGE).

Surgical endoscopy·2026
Same journal

Mid-to-long-term follow-up study on the application of cystic duct patency test and cystic duct exploration in laparoscopic cholecystectomy for calculous cholecystitis: Xinjiang-Gu laparoscopic cystic duct exploration.

Surgical endoscopy·2026
See all related articles

A novel subxiphoid approach for thoracoscopic thymectomy offers improved surgical exposure without sternotomy. This minimally invasive technique allows for extended thymectomy, potentially leading to better patient outcomes.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Minimally invasive thoracoscopic thymectomy is effective and safe, but previous approaches like transcervical or lateral thoracic routes compromise surgical exposure.
  • Extended thymectomy requires comprehensive dissection of mediastinal fat, including bilateral pericardiophrenic and interphrenic regions.

Observation:

  • A new subxiphoid approach was developed for extended thymectomy using standard thoracoscopic techniques.
  • This approach involves creating additional port sites in the anterior chest wall for instrument introduction.
  • Two consecutive patients underwent thymectomy using this novel subxiphoid technique.

Findings:

  • The subxiphoid approach provides excellent visualization of bilateral pleural cavities and the mediastinum.

Related Experiment Videos

  • It facilitates complete dissection and removal of all thymic-bearing mediastinal fat, including bilateral pericardiophrenic fat pads.
  • This method avoids sternotomy while enabling bilateral access for extended thymectomy.

    • Implications:

    • The subxiphoid approach enhances surgical exposure for extended thymectomy, potentially improving radicality of resection.
    • Omitting sternotomy reduces surgical trauma and may lead to better patient outcomes.
    • This technique represents a promising advancement in minimally invasive thoracic surgery for thymectomy.