Technical points of modular operation and standard procedure for three-port anterior mediastinal thymic disease surgery via subxiphoid approach: Experience of Tangdu Hospital
- VernacularTitle:剑突下“三孔式”前纵隔胸腺疾病手术模块化操作及标准流程技术要点—唐都经验
- Author:
Jipeng ZHANG
1
;
Yongan ZHOU
1
;
Jinbo ZHAO
1
;
Chenghui JIA
1
;
Xinyao XU
1
;
Guangyu XIANG
2
;
Jiahe LI
2
;
Qiang LU
3
Author Information
1. Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi an, 710038, P. R. China
2. Basic Medical College, Air Force Medical University, Xi an, 710032, P. R. China
3. 1. Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi an, 710038, P. R. China 2. Basic Medical College, Air Force Medical University, Xi an, 710032, P. R. China
- Publication Type:Journal Article
- Keywords:
Subxiphoid approach;
thymectomy;
three-port surgery;
modularity;
thymic disease;
myasthenia gravis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(12):1735-1742
- CountryChina
- Language:Chinese
-
Abstract:
Surgery is an important treatment for the anterior mediastinal disease. With the rapid development of minimally invasive techniques, complete resection of the lesion in most patients with thymic disease can be achieved through thoracoscopic surgery. Practice has proved that the three-port resection of anterior mediastinal thymus disease via the subxiphoid approach is an ideal surgical method for the treatment of anterior mediastinal thymic tumors at present, which has strong popularization and popularity and can benefit the patients. The procedure focuses primarily on the anterior and upper mediastinum and can thoroughly expose the anatomy of the mediastinum and both sides, with minimal intraoperative bleeding, high safety, minimal trauma and postoperative pain, and a short hospital stay. It has clear advantages over conventional thoracic open-heart surgery and transversal resection. However, the surgical approach and field of view, and intraoperative precautions of this procedure are completely different from those of previous thoracoscopic procedures, and from the subxiphoid single-port approach adopted by other centers. Based on 10 years of surgical experience at our center, a modular mode of surgical operation has been developed and its procedure has been standardized. This paper will share and discuss relevant operational points and experiences.
