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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 9/2016

01-09-2016 | How to Do It

Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach

Authors: Hiroyuki Shiono, Tetsuki Sakamoto, Teiko Sakurai

Published in: General Thoracic and Cardiovascular Surgery | Issue 9/2016

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Abstract

Anterior chest wall lifting facilitates a wide view and allows easy access during thoracoscopic surgery in a supine position for anterior mediastinal lesions. We previously reported an anterior chest wall lifting method for a thymectomy that utilizes our original costal hooks. Here, we present a less invasive method that can be performed with only a needle puncture, i.e., a metal plate placed under the ribs is lifted with a wire inserted through the anterior chest wall. We have applied this novel ‘T bar-lifting method’ for 5 different cases with anterior mediastinal tumors, and found it to be simple and easy to perform, as well as less invasive for patients undergoing thoracoscopic surgery.
Literature
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Ohta M, Hirabayashi H, Okumura M, et al. Thoracoscopic thymectomy using anterior chest wall lifting method. Ann Thorac Surg. 2003;76:1310–1.CrossRefPubMed
2.
Shiono H, Kadota Y, Hayashi A, et al. Comparison of outcomes after extended thymectomy for myasthenia gravis: bilateral thoracoscopic approach versus sternotomy. Surg Laparosc Endosc Percutan Tech. 2009;19:424–7.CrossRefPubMed
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Kimura T, Inoue M, Shiono H, et al. The oncological feasibility and limitations of video-assisted thoracoscopic thymectomy for early-stage thymomas. Eur J Cardiothorac Surg. 2013;44:e214–8.CrossRefPubMed
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Kido T, Hazama K, Inoue Y, et al. Resection of anterior mediastinal masses through an infrasternal approach. Ann Thorac Surg. 1999;67:263–5.CrossRefPubMed
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Uchiyama A, Shimizu S, Murai H, et al. Infrasternal mediastinoscopic thymectomy in myasthenia gravis: surgical results in 23 patients. Ann Thorac Surg. 2001;72:1902–5.CrossRefPubMed
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Zielinski M, Czajkowski W, Gwozdz P, et al. Resection of thymomas with use of the new minimally-invasive technique of extended thymectomy performed through the subxiphoid-right video-thoracoscopic approach with double elevation of the sternum. Eur J Cardiothorac Surg. 2013;44:e113–9.CrossRefPubMed
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Takeo S, Sakada T, Yano T. Video-assisted extended thymectomy in patients with thymoma by lifting the sternum. Ann Thorac Surg. 2001;71:1721–3.CrossRefPubMed
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Kurai M, Yamada K, Kondo R. Thoracoscopic thymectomy using anterior chest wall lifting method by Kirschner wire. Kyobu Geka. 2012;65:973–7.PubMed
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Osako T. Video-assisted thoracoscopic thymectomy in patients with myasthenia gravis without resorting to horizontal resection of the neck section. Kyobu Geka. 2009;62:56.PubMed
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Meyer DM, Herbert MA, Sobhani NC, et al. Comparative clinical outcomes of thymectomy for myasthenia gravis performed by extended transsternal and minimally invasive approaches. Ann Thorac Surg. 2009;87:385–90.CrossRefPubMed
Metadata
Title
Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach
Authors
Hiroyuki Shiono
Tetsuki Sakamoto
Teiko Sakurai
Publication date
01-09-2016
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 9/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-016-0643-2

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