Tubeless subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance-shaped sternal elevation device in anterior mediastinal masses

Junmin ZHU; Junjie WANG; Jianming YUE; Yixin SUN; Yichen LIU; Lei WANG; Lin LIN; Jie LI; Jinlan ZHAO; Xuehua TU; Ningying DING; Jianrong HU; Chunmei HE; Leilei TIAN; Hongtao TANG; Jiasheng ZHAO; Cheng CHEN; Yongxiang SONG; Yunwei TIAN; Yong XIAO; Kaidi LI; Lin MA; Yun WANG; Longqi CHEN; Dong TIAN

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Tubeless subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance-shaped sternal elevation device in anterior mediastinal masses

VernacularTitle:无管化天平拉钩经皮悬吊剑突下单孔胸腔镜辅助前纵隔肿物手术
Author: Junmin ZHU ^{1
,

2} ; Junjie WANG ³ ; Jianming YUE ⁴ ; Yixin SUN ² ; Yichen LIU ² ; Lei WANG ¹ ; Lin LIN ¹ ; Jie LI ¹ ; Jinlan ZHAO ⁵ ; Xuehua TU ⁵ ; Ningying DING ⁵ ; Jianrong HU ⁵ ; Chunmei HE ⁵ ; Leilei TIAN ⁵ ; Hongtao TANG ⁶ ; Jiasheng ZHAO ⁷ ; Cheng CHEN ⁸ ; Yongxiang SONG ⁸ ; Yunwei TIAN ⁹ ; Yong XIAO ¹⁰ ; Kaidi LI ¹ ; Lin MA ¹ ; Yun WANG ¹ ; Longqi CHEN ¹ ; Dong TIAN ¹
Author Information

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
2. West China School of Medicine, Sichuan University, Chengdu, 610041, P. R. China
3. Department of Thoracic Surgery, Suining Central Hospital, Suining, 629000, P. R. China
4. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
5. Operating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, P. R. China
6. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
7. Department of Thoracic Surgery, The First Hospital of China Medical University, Shenyang, 110000, P. R. China
8. Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563100, Guizhou, P. R. China
9. Department of Thoracic Surgery, Chengdu Xinjin District Hospital of Traditional Chinese Medicine, Chengdu, 610041, P. R. China
10. Department of Thoracic Surgery, Sichuan Science City Hospital, Mianyang, 621900, Sichuan, P. R. China
Publication Type:Journal Article
Keywords: Tubeless technology; balance-shaped sternal elevation device; percutaneous suspension technique; anterior mediastinal masses; subxiphoid incision; uniportal video-assisted thoracoscopic surgery
From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2025;32(11):1603-1609
CountryChina
Language:Chinese
Abstract: Objective To assess the clinical value of a novel surgical technique—Tubeless subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance-shaped sternal elevation device in the resection of anterior mediastinal masses. Methods Patients who underwent tubeless subxiphoid uniportal video-assisted thoracoscopic surgery via balance-shaped sternal elevation device in anterior mediastinal masses process at the Department of Thoracic Surgery, West China Hospital, Sichuan University from March to April 2025 were included, and their clinical data were analyzed. Results A total of 4 patients were included, with 2 males and 2 females, aged 58-75 years. The diameter of the tumor was 2.5-3.0 cm. The operation time was 60.0-150.0 min, intraoperative blood loss was 5-10 mL, pain score on the 3rd day after surgery was 0 points, and postoperative hospital stay was 2-3 days. All patients achieved complete resection of the masses and thymus without perioperative complications. Conclusion The tubeless subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance-shaped sternal elevation device technique optimizes surgical visualization and instrument maneuverability while avoiding complications related to conventional anesthesia and tubing, thereby markedly enhancing the minimally invasive profile of anterior mediastinal masses resections. In addition to maintaining procedural safety, this approach effectively reduces postoperative pain and accelerates patient recovery, highlighting its potential for widespread clinical adoption.