Preliminary application of the subxiphoid video-assisted thoracoscopic extended thymectomy
10.3760/cma.j.issn.1008-6706.2022.03.017
- VernacularTitle:剑突下胸腔镜胸腺扩大切除术的初步应用分析
- Author:
Peng CHA
1
;
Zheng LIANG
Author Information
1. 北京大学国际医院胸外科,北京 102206
- Keywords:
Thymus gland;
Surgical procedures,operative;
Thoracoscopes;
Xiphoid bone;
Postoperative complications;
Blood loss,surgical;
Pain,postoperative;
Safety
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(3):398-401
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the preliminary effects of subxiphoid video-assisted thoracoscopic extended thymectomy.Methods:We retrospectively analyzed the clinical data of six patients who underwent subxiphoid video-assisted thoracoscopic extended thymectomy in Peking University International Hospital from August 2018 to June 2020.Results:All six patients underwent successful subxiphoid video-assisted thoracoscopic extended thymectomy without conversion to thoracotomy. The rate of R0 resection was 100%. Operative time was (175.50 ± 67.78) minutes, intraoperative blood loss was (40.83 ± 31.37) mL, and postoperative drainage time was (7.17 ± 3.55) days. The total amount of postoperative drainage was (1781.67 ± 1293.53) mL. Postoperative hospital stay was (10.67 ± 6.35) days. The length of hospital stay was (19.67 ± 5.65) days. The Visual Analog Scale score measured after surgery was (2.12 ± 0.48) points. Three patients had grade 1 complications, with an incidence of complications of 50.00%. Grade 3-5 compilations did not occur in any patient. No patient died during the perioperative period.Conclusion:Subxiphoid video-assisted thoracoscopic extended thymectomy is safe and effective and provides a good visual field. The surgical method allows bilateral thoracic surgery, reduces surgical trauma, and has a broad application prospect.
