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Video-Assisted Thoracic Surgery Thymectomy: Subxiphoid Approach.

¹Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Journal of Chest Surgery

|August 6, 2021

Summary

This study introduces subxiphoid single-port video-assisted thoracic surgery (VATS) thymectomy, a minimally invasive technique for anterior mediastinal masses. This VATS approach offers reduced postoperative pain compared to traditional methods.

Keywords:

Single port Subxiphoid Thymectomy Video-assisted thoracic surgery

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Area of Science:

Thoracic Surgery
Minimally Invasive Procedures
Surgical Oncology

Background:

Anterior mediastinal masses require safe and effective surgical removal.
Video-assisted thoracic surgery (VATS) offers a minimally invasive alternative to open procedures.
Single-port approaches aim to further reduce surgical invasiveness.

Purpose of the Study:

To present the technique of subxiphoid single-port VATS thymectomy.
To demonstrate its safety and applicability for anterior mediastinal masses and potentially lung cancer.
To highlight the advantages of this approach over conventional methods.

Main Methods:

Procedure performed in the lithotomy position with a subxiphoid incision.
CO2 insufflation under two-lung ventilation at 10 mm Hg.
Resection of thymic/mediastinal tissue using articulated graspers and energy devices, followed by drain insertion.

Main Results:

The subxiphoid single-port VATS thymectomy technique is described.
Potential applications include anterior mediastinal masses, lung cancer, pneumothorax, and metastasectomy.
Reduced postoperative pain is a key advantage compared to intercostal VATS.

Conclusions:

Subxiphoid single-port VATS thymectomy is a safe and feasible technique for thoracic surgeons.
It offers a minimally invasive option for anterior mediastinal masses and other thoracic conditions.
This approach may lead to improved patient recovery and reduced pain.