Liu Zhengcheng, Yang Rusong, Sun Yang
Department of Thoracic Surgery, Nanjing Chest Hospital, Nanjing, China.
Department of Anaesthesia, Nanjing Chest Hospital, Nanjing, China.
Interact Cardiovasc Thorac Surg. 2019 Nov 1;29(5):742-745. doi: 10.1093/icvts/ivz181.
This report describes a non-intubated, subxiphoid, uniportal approach to video-assisted thoracoscopic thymectomy. A laryngeal mask was used as a safety precaution for ventilatory management, and thymectomy was accomplished through a single transverse incision below the lower edge of the xiphoid. Patients were uneventfully discharged with fast recovery. This novel surgical approach may merge the potential benefits of a subxiphoid incision for treatment of anterior mediastinum lesion and adoption of a non-intubated anaesthesia protocol.
本报告描述了一种非插管、剑突下单孔入路的电视辅助胸腔镜胸腺切除术。使用喉罩作为通气管理的安全预防措施，通过剑突下缘下方的单一横向切口完成胸腺切除术。患者恢复迅速，顺利出院。这种新颖的手术方法可能融合了剑突下切口治疗前纵隔病变和采用非插管麻醉方案的潜在优势。
