Subxiphoid thymectomy—technical variants

Zieliński, Marcin; Rybak, Mariusz; Solarczyk-Bombik, Katarzyna; Wilkojc, Michal; Czajkowski, Wojciech; Kosiński, Sylweriusz; Fryzlewicz, Edward; Nabiałek, Tomasz; Pankowski, Juliusz

doi:10.21037/vats.2017.02.05

Cited by 3 publications

(2 citation statements)

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“…Due to the presence of the heart, it is difficult to expose both sides of the phrenic nerve and fat at the same time. Compared with VATS, the subxiphoid approach can enter both sides of the mediastinum through one incision after opening the pleura bilaterally [ 35 ].…”

Section: Surgical Treatment For Thymic Tumormentioning

confidence: 99%

Thymoma and Thymic Carcinoma: Surgical Resection and Multidisciplinary Treatment

Zhang

Lin

Aramini

et al. 2023

Cancers

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Thymoma and thymic carcinoma are the most common tumors of the anterior mediastinum and a relatively rare type of thoracic cancer. The prerequisite for surgery is clinical staging and operative evaluation, both of which are based on medical imaging. The best strategy for treating a thymic epithelial tumor is surgical resection of the organ and surrounding tissue. Thymectomy modalities vary, including open surgery and minimally invasive surgery, and surgeons have used various innovations to better meet the needs of the procedure; therefore, it is critical to select the appropriate procedure based on the patient’s characteristics. Evaluation of resectability is the first step of surgical resection for thymic tumors without distant metastasis. The decision regarding unresectability should be made carefully. During subsequent chemotherapy or chemoradiotherapy, reevaluation of whether an area is resectable or not remains essential. Despite numerous technological advances in the surgical treatment of thymic tumors, several contentious issues remain, including the selection of surgical approaches for difficult cases, the selection of video-assisted thoracoscopic approaches, the evaluation of resectability, minimally invasive surgery for locally advanced thymic tumors, lymphadenectomy in thymic tumors, neoadjuvant therapy for thymic tumors, debulking surgery, and salvage surgery. In solving these problems, the surgeon’s judgment, surgical experience, and surgical skills are especially important.

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Section: Surgical Treatment For Thymic Tumormentioning

confidence: 99%

Thymoma and Thymic Carcinoma: Surgical Resection and Multidisciplinary Treatment

Zhang

Lin

Aramini

et al. 2023

Cancers

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“…Отдельные хирурги дополнительно устанавливают несколько портов (до двух в межрёберных промежутках или подрёберно) в целях более удобного манипулирования при тимэктомии. К преимуществам данного доступа относят отсутствие необходимости пересечения межрёберных нервов, возможность чёткого лоцирования границ ключевых анатомических структур и отсутствие необходимости раздельной двухпросветной интубации [44][45][46][47][48]. Первыми авторами, кто опубликовал данные о возможности субксифоидального доступа, была группа хирургов из Японии под руководством T. Kido [49].…”

Section: тимэктомия из субксифоидального доступаunclassified

Surgical Treatment of Stage I and II Thymus Epithelial Tumors

Epifantsev,

Gritsun,

Keshvedinova

et al. 2023

Journal of Clinical Practice

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Thymic epithelial tumors are the most common tumors of the anterior mediastinum, with an incidence of 0.18 per 100,000 population. Here, we present a review of the national and foreign literature on the surgical treatment of stage I and II thymic epithelial tumors. The Medline (PubMed) and Russian Science Citation Index (eLibrary) databases were used as search engines. The focus of the review is the problem of choosing the optimal minimally invasive surgical approach for thymectomy, and the need for lymph node dissection for thymic epithelial tumors. A number of issues remain currently unresolved in thymic epithelial tumors surgery, namely the justification of the preoperative histological verification of the tumor process, the choice of the optimal surgical access to the anterior mediastinum, the need for and prognostic effect of lymph node dissection, and the determination of the required volume of the planned operation.

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