Chinese expert consensus on subxiphoid video-assisted thoracoscopic surgery with sternal elevation for anterior mediastinal masses
- VernacularTitle:胸骨抬高经剑突下入路前纵隔肿物胸腔镜手术中国专家共识
- Author:
Jiang FAN
1
;
Longqi CHEN
2
Author Information
1. Department of Thoracic Surgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, P. R. China
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Collective Name:Mediastinal Group, Thoracic Surgery Branch, Shanghai Medical Doctor Association, Thoracic Surgery Branch, Sichuan International Medical Exchange and Promotion Association
- Publication Type:Journal Article
- Keywords:
Sternal elevation;
subxiphoid approach;
anterior mediastinal mass;
video-assisted thoracoscopic surgery;
expert consensu
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(07):887-896
- CountryChina
- Language:Chinese
-
Abstract:
With the adoption of the surgical principles emphasizing minimally invasive, precise, and individualized procedures, the sternum elevation via the subxiphoid approach for thoracoscopic surgery has become an important technique for the resection of anterior mediastinal masses. This method offers significant advantages in terms of increasing surgical field exposure, reducing surgical trauma, alleviating postoperative pain, and improving cosmetic outcomes. To establish a standardized surgical system and promote the consistent implementation of this technique, this consensus integrates the practical experiences of multiple thoracic surgery centers in China and relevant literature reports. It addresses core clinical issues such as surgical indications, preoperative assessment, anesthesia and intraoperative cooperation, key surgical techniques, postoperative management, prevention and treatment of complications, as well as training and quality control systems. The aim is to provide a safer and more effective minimally invasive solution for patients with anterior mediastinal masses and to facilitate the innovation of minimally invasive surgical modalities for the anterior mediastinum.
