Comparison of short-term efficacy of VATS subxiphoid thymic tumor resection and intercostal thymic tumor resection

Zhuoqi Jia; Weiru Zhou; Shuo LI; Haijun LI; Yong Zhang; Guangjian Zhang; Junke FU

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Comparison of short-term efficacy of VATS subxiphoid thymic tumor resection and intercostal thymic tumor resection

VernacularTitle:胸腔镜经剑突下胸腺瘤切除术与经肋间胸腺瘤切除术近期疗效的对比研究
Author: Zhuoqi JIA ¹ ; Weiru ZHOU ² ; Shuo LI ¹ ; Haijun LI ¹ ; Yong ZHANG ¹ ; Guangjian ZHANG ¹ ; Junke FU ¹
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1. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061
2. Department of Nuclear Medicine, Xi’an Gaoxin Hospital, Xi’an 710075, China
Publication Type:Journal Article
Keywords: thymic tumor; video-assisted thoracoscopic surgery (VATS); subxiphoid surgery; myasthenia gravis
From: Journal of Xi'an Jiaotong University(Medical Sciences) 2021;42(4):603-607
CountryChina
Language:Chinese
Abstract: 【Objective】 To compare and analyze clinical efficacy and safety of subxiphoid vs. intercostal video-assisted thoracoscopic surgery (VATS) thymic tumor resection. 【Methods】 We selected 124 patients from January 2015 to March 2019, who received VATS thymic tumor resection in the Thoracic Department of The First Affiliated Hospital of Xi'an Jiaotong University. We divided them into the subxiphoid VATS group with 47 cases and intercostal VATS group with 77 cases to analyze clinical characteristics, postoperation outcomes, complications, pain score, and short-term quality of life. 【Results】 There were no significant differences in operation time, blood loss, the rate of postoperative pneumonia, arrhythmia, phrenic nerve paralysis or myasthenia crisis between the two groups (P>0.05). Average hospital stay: It was shorter in subxiphoid VATS group than intercostal VATS group (P<0.05). Pain score: It was lower the first day and the third day after operation in subxiphoid VATS group than in intercostal VATS group (P<0.05). SF-36 health scale score: 3-month and 12-month postoperation score was higher in subxiphoid VATS group than in intercostal VATS group (P<0.05). 【Conclusion】 Subxiphoid VATS thymic tumor resection is safe and feasible; compared with intercostal approach, it can significantly reduce wound pain and improve short-term quality of life.