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Subxiphoid approach for video-assisted thoracoscopic surgery: an update
Chien-Hung Chiu1, Yin-Kai Chao1, Yun-Hen Liu1
1Division of Thoracic Surgery, Chang Gung Memorial Hospital-Linko, Chang Gung University, Taoyuan.
Journal of Thoracic Disease
|July 24, 2018
Summary
Subxiphoid video-assisted thoracoscopic surgery (VATS) offers a less invasive approach to thoracic diseases. This technique aims to reduce chronic chest pain associated with traditional and single-incision VATS procedures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Pain Management
Background:
- Video-assisted thoracoscopic surgery (VATS) is a standard treatment for thoracic diseases.
- Single-incision VATS reduces surgical trauma but chronic chest pain persists.
- Subxiphoid VATS is proposed to address limitations of existing VATS approaches.
Purpose of the Study:
- To review the current applications of subxiphoid VATS.
- To analyze the advantages and disadvantages of the subxiphoid approach.
- To explore future developments in subxiphoid VATS.
Main Methods:
- Literature review of subxiphoid VATS.
- Analysis of clinical outcomes and patient-reported pain.
- Comparison with traditional and single-incision VATS.
Main Results:
- Subxiphoid VATS demonstrates potential for reduced invasiveness and pain.
- Specific applications and limitations are identified.
- Further research is needed to establish long-term benefits.
Conclusions:
- Subxiphoid VATS is a promising alternative for thoracic surgery.
- It may offer improved pain control compared to other VATS methods.
- Continued investigation into its efficacy and development is warranted.
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