Primary experience of subxiphoid thoracoscopic approach for minimally invasive thymectomy assisted by sternum-elevating technique
10.12025/j.issn.1008-6358.2017.20170067
- VernacularTitle:胸骨抬举法辅助经剑突下胸腔镜微创手术治疗胸腺病变的初步尝试
- Author:
Hao WANG
1
;
Ji-Jun LI
;
Jian-Yong DING
;
Chun JIN
;
Yong-Xing ZHANG
;
Li-Jie TAN
;
Di GE
;
Qun WANG
Author Information
1. 复旦大学附属中山医院胸外科
- Keywords:
sternum-elevating technique;
subxiphoithoracoscopic approach fominimallinvasive;
thymectomy
- From:
Chinese Journal of Clinical Medicine
2017;24(2):188-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the clinical efficacy of subxiphoid thoracoscopic approaches for minimally invasive thymectomy assisted by sternum-elevating technique.Methods:From March 2016 to July 2016, 24 consecutive patients with thymic mass underwent thoracoscopic extended thymectomy via subxiphoid approach.For the later 12 cases (study group), the sternum-elevating technique was used additionally.The perioperative outcomes of two groups were compared.Results:The patients in study group had much shorter surgical duration ([80.3±14.9] min vs [96.2±17.3] min, P<0.01) than control group.However, no significant difference was found on the other outcomes between the two groups, including blood loss, conversion to open surgery, morbidities, postoperative hospital stay and patient's pain scores.Conclusions:The subxiphoid thoracoscopic approach for minimally invasive thymectomy assisted by sternal elevating is simple and cost-effective, safe and effective.It is a promising approach for clinical expansion.
