Okuda Katsuhiro, Haneda Hiroshi, Yokota Keisuke, Tatematsu Tsutomu, Sakane Tadashi, Oda Risa, Watanabe Takuya, Nakanishi Ryoichi
Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Nagoya, 467-8601, Japan.
Surg Today. 2018 Dec;48(12):1096-1099. doi: 10.1007/s00595-018-1686-z. Epub 2018 Jun 22.
An open approach by sternotomy is still selected for locally advanced anterior mediastinal tumors. Technical and instrumental improvements to video-assisted thoracic surgery (VATS) have enabled the treatment of anterior mediastinal tumor in the last decade, and the indications of VATS for an anterior mediastinal tumor are thus expanding. Recently, a single-port thymectomy procedure using the subxiphoid approach has gained popularity worldwide because of its low invasiveness. Improvements to the thoracoscopic instruments and the development of a single-port device are expanding the adoption of single-port VATS in the thoracic surgical field, including resection of anterior mediastinal tumors. We, herein, report a case of thymothymectomy with pulmonary partial resection using the subxiphoid approach. This approach is useful for extended operation for anterior mediastinal tumors and provides favorable results regarding postoperative pain and cosmetic outcomes.
对于局部晚期前纵隔肿瘤，仍选择经胸骨切开的开放手术方式。在过去十年中，电视辅助胸腔镜手术（VATS）的技术和器械改进使得前纵隔肿瘤的治疗成为可能，因此VATS治疗前纵隔肿瘤的适应证正在扩大。最近，经剑突下入路的单孔胸腺切除术因其低侵袭性而在全球范围内受到欢迎。胸腔镜器械的改进和单孔设备的开发正在扩大单孔VATS在胸外科领域的应用，包括前纵隔肿瘤的切除。在此，我们报告一例经剑突下入路行胸腺切除术并肺部分切除术的病例。该入路对于前纵隔肿瘤的扩大手术很有用，并且在术后疼痛和美容效果方面提供了良好的结果。
