Subxiphoid mediastinal lymphadenectomy

Video-assisted thoracoscopic surgery (VATS) has experience an exponential growth in lung anatomic resections. Since its beginnings in early 90s with the conventional multiport VATS to the more recent uniportal approach, a continuous search for a less invasive procedure has fueled the development of...

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Bibliographic Details
Published inJournal of visualized surgery Vol. 2; p. 105
Main Authors Guido Guerrero, William, Hernandez Arenas, Luis Angel, Jiang, Gening, Yang, Yang, Gonzalez-Rivas, Diego, Jiang, Lei
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 07.06.2016
Subjects
Brief Report on Subxiphoid Surgery
novel procedure
lymph node dissection
subxiphoid
minimally invasive
Uniportal video-assisted thoracoscopic surgery (VATS)
lymphadenectomy
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Summary:Video-assisted thoracoscopic surgery (VATS) has experience an exponential growth in lung anatomic resections. Since its beginnings in early 90s with the conventional multiport VATS to the more recent uniportal approach, a continuous search for a less invasive procedure has fueled the development of minimally invasive thoracic surgery. In this sense, subxiphoid uniportal VATS has surge as a uniportal option that avoids damage to the intercostal nerve created in a transthoracic approach. In order for this technique to become as an acceptable choice for lung cancer, oncologic principles must be respected, including a feasible and safe mediastinal lymphadenectomy. Although technically more difficult than other VATS approaches, a complete lymphadenectomy is possible in the hands of expert VATS surgeons through a subxiphoid approach.
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ISSN:2221-2965
2221-2965
DOI:10.21037/jovs.2016.05.05