Safety of subxiphoid uniportal video-assisted thoracoscopic surgery for anterior mediastinal tumour in obese patients.

Wu, Weidong; Chen, Chun; Zheng, Wei; Huang, Lin; Gao, Pengqiang

doi:10.5114/wiitm.2020.100879

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…S-VATT was considered a safe surgical procedure with less trauma. This was consistent with the conclusion reached by Wu et al (18).…”

Section: Discussionsupporting

confidence: 94%

Clinical analysis of subxiphoid vs. lateral approaches for treating early anterior mediastinal thymoma

Niu²,

Gu³

et al. 2022

Front. Surg.

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ObjectiveTo investigate the clinical efficacy of the subxiphoid approach for early anterior mediastinal thymoma and evaluate its advantages over the lateral intercostal approach.MethodsA total of 345 patients with early anterior mediastinal thymoma were retrospectively analyzed from January 2016 to December 2020 in the First Affiliated Hospital of Soochow University. Out of these, 99 patients underwent subxiphoid video-assisted thoracoscopic thymectomy and 246 patients underwent transthoracic video-assisted thoracoscopic thymectomy. We compared the intraoperative conditions (such as operation time and intraoperative blood loss), postoperative conditions [such as postoperative pleural drainage volume, extubation time, postoperative hospital stay, and postoperative visual analogue scale (VAS) pain score], and postoperative complications (such as death, pneumonia, delayed wound healing, cardiac arrhythmia, and phrenic nerve injury) of the two groups and analyzed the clinical advantages of the subxiphoid approach for treating early anterior mediastinal thymoma.ResultsThere was no significant difference between the two groups in terms of general clinical features, operation time, and postoperative complications (P > 0.05).However, there was a significant difference in terms of intraoperative blood loss, postoperative pleural drainage volume, tube extubation time, postoperative hospital stay, postoperative VAS pain score, and postoperative analgesics (a significantly decreased flurbiprofen axetil amount) (P < 0.05).ConclusionCompared with the lateral intercostal thoracic approach, the subxiphoid approach had advantages in terms of intraoperative blood loss, postoperative hospital stay, tube extubation time, postoperative pleural drainage volume, postoperative VAS pain score, and analgesics dosage. It could provide a better view of the bilateral pleural cavities and more thorough thymectomy and superior cosmesis, and it proved to be a safe and feasible minimally invasive surgical method.

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“…S-VATT was considered a safe surgical procedure with less trauma. This was consistent with the conclusion reached by Wu et al (18).…”

Section: Discussionsupporting

confidence: 94%

Clinical analysis of subxiphoid vs. lateral approaches for treating early anterior mediastinal thymoma

Niu²,

Gu³

et al. 2022

Front. Surg.

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“…Our study did not find a significant difference in postoperative complications between high and low BMI groups, which is consistent with the results of some previous studies about different kinds of tumors [ 11 , 12 ]. Anastomotic leakage is one of the most common complications after upper-gastrointestinal surgery.…”

Section: Discussionsupporting

confidence: 93%

Does high body mass index influence the postoperative complications and long-term survival in patients with esophageal squamous cell carcinoma after minimally invasive esophagectomy?

Wang¹,

Bao²,

Li³

et al. 2022

Videosurgery and Other Miniinvasive Techniques

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Introduction The prognostic value of high body mass index (BMI) in patients with esophageal squamous cell carcinoma (ESCC) is still controversial. Aim To evaluate the impact of high BMI on postoperative complications and survival after minimally invasion esophagectomy (MIE) for ESCC patients. Material and methods Three hundred and fourteen consecutive ESCC patients were used to analyze the potential association between high BMI and postoperative complications and survival. Results Patients were divided into two groups. There was no significant difference between high and low BMI groups in terms of postoperative complications, including respiratory disease (p = 0.8362), pneumothorax (p = 0.6058), anastomotic leakage (p = 0.8678), chylothorax (p = 0.9062), cardiovascular disease (p = 0.5763), vocal cord paresis (p = 0.8349), wound infection (p = 0.5763) and perioperative death (p = 0.7179). Patients in the high BMI group had a longer operative time (p = 0.003) and more blood loss (p = 0.002) than in the low BMI group. There was no difference in number of retrieved lymph nodes between the two groups (p = 0.728). Patients could not benefit from high BMI in overall survival (OS) (p = 0.2459). High BMI was not an independent prognostic factor for survival (p = 0.1735, HR = 0.776 and 95% CI: 0.5386–1.1180). Conclusions High BMI is associated with prolonged operative time and increased blood loss in MIE. However, high BMI is not associated with postoperative complications and not an independent prognostic factor for survival in ESCC patients who undergo MIE.

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Safety of subxiphoid uniportal video-assisted thoracoscopic surgery for anterior mediastinal tumour in obese patients.

Cited by 2 publications

References 26 publications

Clinical analysis of subxiphoid vs. lateral approaches for treating early anterior mediastinal thymoma

Clinical analysis of subxiphoid vs. lateral approaches for treating early anterior mediastinal thymoma

Does high body mass index influence the postoperative complications and long-term survival in patients with esophageal squamous cell carcinoma after minimally invasive esophagectomy?

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