Abstract
Abstract
Background
To describe a technique of non-intubated uniportal subxiphoid thoracoscopic extended thymectomy.
Methods
Data were collected retrospectively. A single 3-cm transverse incision was made below the xiphoid process. This method for extended thymectomy entails adoption of uniportal subxiphoid VATS combined with using of non-intubated anesthesia for thymoma associated with myasthenia gravis.
Results
Ten consecutive patients underwent this procedure successfully. Mean operative time was 102.5 min. Conversion to intubated ventilation or thoracotomy was not required.
Mean chest tube duration was 3.5 days. Mean postoperative hospital stay was 4.7 days. Histologic examination showed early-stage thymomas. Side effects were rare. Quantitative MG scores decreased during follow-up.
Conclusions
Patients were uneventfully discharged with fast recovery. This technique may merge the potential benefits of a subxiphoid incision and the non-intubated anesthesia protocol.
Funder
Key projects of nanjing medical science and technology
Jiangsu medical talents program
Basic Research Program of Jiangsu Province
Publisher
Springer Science and Business Media LLC
Cited by
2 articles.
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