Bilateral Video-Assisted Thoracoscopic Thymectomy for Masaoka Stage IIIA Thymomas

Zhang, Guofei; Li, Wenshan; Chai, Ying; Wu, Ming; Zhao, Bai-Qin; Fan, Junqiang; Zhang, Sai; Shen, Gang

doi:10.1055/s-0034-1395389

Cited by 10 publications

(6 citation statements)

References 17 publications

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“…Various approaches for thoracoscopic resection of thymic tumors have been developed, including median sternotomy, unilateral, bilateral, subxiphoid single-port, and triple-incision approaches [6,[24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Modified subcostal arch xiphoid thoracoscopic expanded thymectomy for thymic carcinoma: a case report and review of literature

Wang

Liu

Zhuang³

et al. 2022

J Cardiothorac Surg

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Thymic neoplasms are a relatively uncommon tumor, with the anterior mediastinum being the most common. Median sternotomy is the procedure of choice for the treatment of thymomas. With the advent of thoracoscopy, an increasing number of countries are adopting the right thoracic approach for the treatment of thymomas, but there are still no clear surgical standards or modalities to treat thymic carcinoma. We propose a modified subxiphoid subcostal arch thoracoscopic enlarged thymectomy to treat thymic carcinoma based on various reviews. We have also reviewed the relevant literature on the subject of evidence-based medicine. The evaluation of CD70 in combination with CD5 and CD117 or preferentially expressed antigen in melanoma in combination with CD5 and CD117 may help to diagnose thymic squamous cell carcinoma (TSCC) more accurately. The modified thoracoscopic expanded thymic resection under the costal arch of the xiphoid process is not only suitable for TSCC but also for thymic cyst, thymoma, locally invasive thymoma, and thymic carcinoma.

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Section: Discussionmentioning

confidence: 99%

Modified subcostal arch xiphoid thoracoscopic expanded thymectomy for thymic carcinoma: a case report and review of literature

Wang

Liu

Zhuang³

et al. 2022

J Cardiothorac Surg

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“…5 Exploring the limits of minimal invasive resection, Zhang and colleagues report on shortterm results for locally advanced thymoma not involving the mediastinal vessels. 6 Resection was completed in every patient and bilateral mediastinal dissection appears to be safe. The obligatory opening of both pleural spaces to the tumor bed, often deliberately avoided during sternotomy, may increase the risk of pleural recurrence.…”

Section: The Relative Preference Of a Robotic-assisted Techniquementioning

confidence: 97%

Thymectomy: A Trivalent Surgical Approach?

Gaissert

2015

Thorac cardiovasc Surg

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This issue of the Thoracic and Cardiovascular Surgeon is focused on the surgical treatment of thymic disease. We invited three reviews by experienced surgeons to describe the current state of open and minimal invasive surgical approaches for benign and neoplastic thymic lesions. Professor Erino Rendina and his colleagues Professor Federico Venuta and Drs. Giulio Maurizi and Antonio D'Andrilli at La Sapienza University in Rome summarize the role of transternal thymectomy. 1 Professor Tommaso Mineo and Dr. Vincenzo Ambrogi at Tor Vergata University in Rome describe the thoracoscopic approach. 2 Dr. Jens Rückert with coauthors Drs. Marc Swierzy and Mahmoud Ismail at the Hospital Charité in Berlin outline their experience with robotic-assisted resection. 3 This snapshot of present-day management emphasizes the robust presence of three distinct techniques for total thymectomy and the evolving treatment standards for three separate conditions: myasthenia gravis (MG), early thymoma surrounded by an intact capsule or fat, and locally advanced thymoma or thymic carcinoma involving adjacent structures, including pericardium, lung or superior mediastinal vessels. From these succinct reviews, we draw several conclusions:

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“…4) We have established minimally invasive thymectomy for anterior mediastinal tumors using the subxiphoid approach and the extended indications for video assisted thoracic surgery (VATS) for invasive anterior mediastinal tumors. 5) Before the combined resection of the left brachiocephalic vein, complete dissection of the thymus except the site of invasion to the left brachiocephalic vein should be completed. The traction of the resected thymus and tumor toward the left thoracic cavity can extend the left brachiocephalic vein.…”

Section: Videomentioning

confidence: 99%

Thoracoscopic Thymectomy with Tangential Partial Resection of the Innominate Vein

Yano

Okuda

Kawano

et al. 2017

ATCS

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We herein report a case in which thoracoscopic thymectomy with partial resection of the brachiocephalic vein was performed using a subxiphoid approach. We suggest the usefulness of the subxiphoid approach in thymectomy. We could extend the indications of thoracoscopic thymectomy for invasive tumors. Thoracoscopic thymectomy with the combined resection of part of the brachiocephalic vein was possible. The pathological diagnosis of the tumor was diffuse large cell B-cell lymphoma. Since the postoperative complications were minimal, postoperative adjuvant chemotherapy could be initiated without delay. This operation might be unnecessary. However, we could decrease the invasiveness of surgery using our procedures without sternotomy. Thoracoscopic thymectomy using subxiphid approach seems to be an ideal procedure for the surgical treatment of invasive lesions.

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Bilateral Video-Assisted Thoracoscopic Thymectomy for Masaoka Stage IIIA Thymomas

Abstract: With proper patient selection, preoperative planning, and a standardized approach to the operative method, we believe that bilateral VATS thymectomy can be a safe and effective procedure, and may provide an attractive alternative approach to median sternotomy.

Cited by 10 publications

References 17 publications

Modified subcostal arch xiphoid thoracoscopic expanded thymectomy for thymic carcinoma: a case report and review of literature

Modified subcostal arch xiphoid thoracoscopic expanded thymectomy for thymic carcinoma: a case report and review of literature

Thymectomy: A Trivalent Surgical Approach?

Thoracoscopic Thymectomy with Tangential Partial Resection of the Innominate Vein

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