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Subxiphoid Mediastinal Resections

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Atlas of Uniportal Video Assisted Thoracic Surgery

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Abstract

We previously developed a surgical technique called subxiphoid single-port thymectomy to excise the thymus through a single opening made below the xiphoid process. This procedure is facilitated by creating adequate space for surgery by inducing compression of bilateral lungs and the mediastinum by means of CO2 insufflation. We previously reported a comparative study of the early outcomes after VATS thymectomy and single-port thymectomy performed at our hospital from January 2005 to December 2014. Subxiphoid single-port thymectomy takes the same amount of operative time as VATS thymectomy via a lateral thoracic approach, but results in less blood loss and enables earlier termination of postoperative analgesics. This method offers an excellent cosmetic outcome with just one 3-cm incision in the abdomen and is the most minimally invasive form of thymectomy that avoids sternotomy and intercostal nerve injury. Investigation of the safety of this procedure and long-term therapeutic outcomes for myasthenia gravis and anterior mediastinal tumors is necessary.

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Conflict of Interest

None declared.

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Authors and Affiliations

  1. Division of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan

    Takashi Suda

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  1. Takashi Suda
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Correspondence to Takashi Suda .

Editor information

Editors and Affiliations

  1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China

    Diego Gonzalez-Rivas

  2. Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China

    Calvin Sze Hang Ng

  3. Service of Thoracic Surgery, Department of Surgery Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Gaetano Rocco

  4. Gary Hock Endowed Professor of Surgery, Duke University Medical Center, Durham, NC, USA

    Thomas A. D’Amico

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Suda, T. (2019). Subxiphoid Mediastinal Resections. In: Gonzalez-Rivas, D., Ng, C., Rocco, G., D’Amico, T. (eds) Atlas of Uniportal Video Assisted Thoracic Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-2604-2_11

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  • DOI: https://doi.org/10.1007/978-981-13-2604-2_11

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2603-5

  • Online ISBN: 978-981-13-2604-2

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