Subxiphoid complex uniportal video-assisted major pulmonary resections

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Background:

• Traditional thoracic surgery often involves intercostal space manipulation, leading to postoperative pain and chronic nerve impairment.
• The subxiphoid uniportal approach has emerged as a less invasive alternative, aiming to mitigate these complications.

Purpose of the Study:

• To evaluate the safety and efficacy of the subxiphoid uniportal approach for major lung resections.
• To demonstrate the feasibility of this technique in managing complex surgical scenarios.

Main Methods:

• Retrospective review of six major lung resection cases performed using the subxiphoid uniportal approach.
• Detailed presentation of surgical techniques and outcomes in challenging situations.

Main Results:

• Subxiphoid uniportal major lung resections were successfully performed in all six cases.
• The approach proved effective in managing complex conditions including large tumors, incomplete fissures, calcified lymph nodes, bleeding, and adhesions.

Conclusions:

• The subxiphoid uniportal approach is a safe and effective technique for major lung resections.
• This minimally invasive method can successfully address complex thoracic surgical conditions, offering a viable alternative to traditional approaches.