Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma
Abstract Background Thymoma is a primary tumor of the thymus, commonly located in the anterior mediastinum. Most thymomas are benign or low‐grade malignant, but they can invade surrounding organs or metastasize. The primary treatment for thymoma is surgical resection. Traditional methods involve ope...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | Thoracic Cancer |
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| Online Access: | https://doi.org/10.1111/1759-7714.15449 |
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| author | Bin Jia Chen Chen Ting Gong Zhenfa Zhang Bingsheng Sun |
| author_facet | Bin Jia Chen Chen Ting Gong Zhenfa Zhang Bingsheng Sun |
| author_sort | Bin Jia |
| collection | DOAJ |
| description | Abstract Background Thymoma is a primary tumor of the thymus, commonly located in the anterior mediastinum. Most thymomas are benign or low‐grade malignant, but they can invade surrounding organs or metastasize. The primary treatment for thymoma is surgical resection. Traditional methods involve open thoracotomy, but it is traumatic, with slow recovery and many complications. In recent years, with the development of thoracoscopic techniques, thoracoscopic total thymectomy has gradually become the preferred method for small size thymomas due to its minimally invasive, safe, and effective. Methods This paper introduces a thoracoscopic extend thymectomy technique, the subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension. This method involves placing hooks at the upper and lower ends of the sternum to suspend the sternum upward, increasing the thoracic cavity space and facilitating thoracoscopic operations. This research reviews the clinical data of 59 patients with early‐stage thymomas treated with this technique at our center since 2020 and analyzes the perioperative therapeutic efficacy and safety. It also compares the outcomes with those of 17 patients who underwent thoracoscopic approaches. Results The results show that subxiphoid video–assisted thoracoscopic total thymectomy with sternal suspension is an innovative and effective surgical method, achieving the same tumor eradication as other thoracic surgeries. The flexible switching of observation ports provides a more comprehensive surgical field, reduces surgical trauma and complications, and improves the surgical outcomes and quality of life for patients. |
| format | Article |
| id | doaj-art-af6fca0f2d5c4a6dbb915f8e129c42ca |
| institution | OA Journals |
| issn | 1759-7706 1759-7714 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj-art-af6fca0f2d5c4a6dbb915f8e129c42ca2025-08-20T02:09:48ZengWileyThoracic Cancer1759-77061759-77142024-10-0115302185219210.1111/1759-7714.15449Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymomaBin Jia0Chen Chen1Ting Gong2Zhenfa Zhang3Bingsheng Sun4Lung Cancer Department Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer Tianjin ChinaLung Cancer Department Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer Tianjin ChinaDepatrment of Oncology Tianjin Medical University General Hospital Tianjin ChinaLung Cancer Department Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer Tianjin ChinaLung Cancer Department Tianjin Medical University Cancer Institute and Hospital National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer Tianjin ChinaAbstract Background Thymoma is a primary tumor of the thymus, commonly located in the anterior mediastinum. Most thymomas are benign or low‐grade malignant, but they can invade surrounding organs or metastasize. The primary treatment for thymoma is surgical resection. Traditional methods involve open thoracotomy, but it is traumatic, with slow recovery and many complications. In recent years, with the development of thoracoscopic techniques, thoracoscopic total thymectomy has gradually become the preferred method for small size thymomas due to its minimally invasive, safe, and effective. Methods This paper introduces a thoracoscopic extend thymectomy technique, the subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension. This method involves placing hooks at the upper and lower ends of the sternum to suspend the sternum upward, increasing the thoracic cavity space and facilitating thoracoscopic operations. This research reviews the clinical data of 59 patients with early‐stage thymomas treated with this technique at our center since 2020 and analyzes the perioperative therapeutic efficacy and safety. It also compares the outcomes with those of 17 patients who underwent thoracoscopic approaches. Results The results show that subxiphoid video–assisted thoracoscopic total thymectomy with sternal suspension is an innovative and effective surgical method, achieving the same tumor eradication as other thoracic surgeries. The flexible switching of observation ports provides a more comprehensive surgical field, reduces surgical trauma and complications, and improves the surgical outcomes and quality of life for patients.https://doi.org/10.1111/1759-7714.15449efficacyextend thymectomysternal suspensionsurgical fieldthymoma |
| spellingShingle | Bin Jia Chen Chen Ting Gong Zhenfa Zhang Bingsheng Sun Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma Thoracic Cancer efficacy extend thymectomy sternal suspension surgical field thymoma |
| title | Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| title_full | Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| title_fullStr | Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| title_full_unstemmed | Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| title_short | Subxiphoid video–assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| title_sort | subxiphoid video assisted thoracoscopic extend thymectomy with sternal suspension for thymoma |
| topic | efficacy extend thymectomy sternal suspension surgical field thymoma |
| url | https://doi.org/10.1111/1759-7714.15449 |
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