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Updated: Feb 28, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Video-assisted thoracoscopic completion thymectomy based on mediastinal pleura guidance
Kai Guo1, Liping Tong1, Xiaofei Li1
1Department of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an 710038, China.
Abstract:
We describe a practical video-assisted thoracoscopic surgery (VATS) technique for the en bloc resection of the thymoma, thymus, and bilateral mediastinum lipid based on mediastinal pleura guidance. By taking advantage of single-lumen endotracheal tube (SLET) anesthesia and artificial pneumothorax, we acquired excellent exposure of the anterior mediastinum operative field. In addition, our limited data showed that this surgical approach might have a potential tendency on reducing the blood loss and the operative times. Moreover, no complication of phrenic nerve paralysis or signs of myasthenia gravis were observed at the 6-month follow-up.
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