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Asian Cardiovasc Thorac Ann 2022 May 26:2184923221104676. Epub 2022 May 26.

Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, 222187Inje University College of Medicine, Busan, Korea.

Background: The subxiphoid single-port approach for thymectomy has advantages compared with conventional lateral transthoracic approaches. Most of centers use CO insufflation to secure an appropriate surgical field during subxiphoid thymectomy, which causes fighting between surgical instruments and restrictions on the types of surgical instruments. The objective of this study is to introduce an effective method to establish the subxiphoid approach without CO insufflation using a retractor and steel wire. Read More

BMC Surg 2022 May 25;22(1):203. Epub 2022 May 25.

Department of Thoracic Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, People's Republic of China.

Objective: To investigate the efficacy and safety of simultaneous subxiphoid single-port thoracoscopic resection of bilateral lung lesions.

Methods: This retrospective study analyzed the clinical data of 72 patients who underwent resection of bilateral lung lesions at the Department of Thoracic Surgery in the First Affiliated Hospital of University of Science and Technology of China between August 2020 and January 2022. Surgery-related parameters were compared between patients who underwent subxiphoid single-port thoracoscopy (subxiphoid group, 36 patients) and patients who underwent intercostal single-port thoracoscopy (intercostal group, 36 patients). Read More

ANZ J Surg 2021 10 17;91(10):2188-2191. Epub 2021 Aug 17.

Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.

Background: The subxiphoid single-port approach for thymectomy has several advantages compared with conventional lateral transthoracic approaches. However, perioperative outcomes of subxiphoid single-port thymectomy are still lacking. The objective of this study is to present our 6-year experience of subxiphoid single-port thymectomy, including our learning curve. Read More

J Chest Surg 2021 Aug;54(4):314-318

Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

In this paper, I present the technique of subxiphoid single-port video-assisted thoracic surgery (VATS) thymectomy for thoracic surgeons to perform this procedure safely. This procedure is indicated for all anterior mediastinal masses and may be extended to lung cancer. The patient is placed in the lithotomy position, and the operator should be on the midline. Read More

Turk Gogus Kalp Damar Cerrahisi Derg 2020 Oct 21;28(4):702-705. Epub 2020 Oct 21.

Department of Chest Diseases, Medical Park Elazığ Hospital, Elazığ, Turkey.

The subxiphoid incision has been widely used in videothoracoscopic surgery in recent years. This minimally invasive technique allows to reach both lungs from a single port. With the future development of the surgical instruments required for the technique, it is expected to become more commonly used. Read More