Single-incision subxiphoid approach for bilateral metastasectomy

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Background:

• Traditional thoracoscopic surgeries often involve multiple incisions and potential intercostal nerve complications.
• The subxiphoid approach offers an alternative access route for thoracic procedures.
• Improving aesthetic outcomes and patient recovery are key goals in thoracic surgery.

Observation:

• A case of single-incision bilateral partial lung resection was successfully performed using the subxiphoid approach.
• The procedure utilized a small, 3-cm abdominal incision.
• This approach provided access to both lungs through the single subxiphoid port.

Findings:

• The subxiphoid approach resulted in a cosmetically favorable, small abdominal scar.
• Postoperative intercostal neuropathy was avoided by bypassing the intercostal spaces.
• Patients experienced minimal postoperative pain due to the non-intercostal access.

Implications:

• This technique has the potential for broader application in thoracic surgery.
• Enhancements in surgical instrumentation could further increase the maneuverability and utility of this approach.
• The subxiphoid method presents a promising alternative for lung resections with improved patient outcomes.