Related Experiment Video
Updated: Feb 22, 2026
04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
762
Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery Procedure
1Division of Thoracic Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukake, Toyoake, Aichi 470-1192, Japan.
Thoracic Surgery Clinics
|October 1, 2017
Summary
The subxiphoid approach in thoracic surgery avoids nerve damage, reducing pain and improving cosmetic results. This technique enables minimally invasive thymectomy and bilateral lung tumor resection through a single incision.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- The subxiphoid approach is increasingly utilized in thoracic surgery to prevent intercostal nerve damage.
- This minimally invasive technique offers advantages over traditional methods, including reduced postoperative pain and superior cosmetic results.
- Previous research has demonstrated its efficacy in complex procedures like thymectomy.
Purpose of the Study:
- To evaluate the effectiveness and benefits of the subxiphoid approach for thoracic procedures.
- To highlight the advantages of subxiphoid single-port thymectomy and bilateral lung resections.
- To underscore the potential for reduced morbidity and enhanced aesthetics in thoracic surgery.
Main Methods:
- Utilizing a subxiphoid single-port approach for thymectomy, avoiding sternotomy and intercostal nerve manipulation.
- Performing synchronous bilateral lung-wedge resections for bilateral pulmonary metastases via a single 3-cm subxiphoid incision.
- Comparing outcomes with traditional thoracic surgical techniques regarding pain, nerve damage, and aesthetics.
Main Results:
- The subxiphoid single-port thymectomy resulted in less pain due to the absence of intercostal nerve damage.
- Excellent cosmetic outcomes were achieved with the subxiphoid approach.
- Synchronous bilateral lung-wedge resection for metastatic lung tumors was successfully performed via a single subxiphoid incision without intercostal nerve damage, yielding favorable aesthetic results.
Conclusions:
- The subxiphoid approach is a viable and advantageous alternative for thoracic surgery, including thymectomy and lung metastasectomy.
- This technique significantly reduces postoperative pain and eliminates intercostal nerve damage, leading to improved patient recovery and cosmetic satisfaction.
- The subxiphoid approach facilitates complex bilateral procedures with minimal invasiveness and excellent aesthetic outcomes.
