ArticleGland surgery2019
Subxiphoid thymectomy with a double sternum retractor: a pilot study.
Article in Gland surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Robot-assisted thoracic surgery versus video-assisted thoracic surgery for treatment of patients with thymoma: A systematic review and meta-analysis.Thoracic cancer · 2022Pooled it
- Uniportal subxiphoid thoracoscopic thymectomy with the Tian-Ping sternal lifter: a prospective non-randomized comparative study.Journal of thoracic disease · 2026Article
- Technical nuances and early outcomes of uniportal subxiphoid video-assisted thoracoscopic surgery (VATS) for anterior mediastinal tumor resection without artificial pneumothorax: a retrospective analysis.Journal of thoracic disease · 2026Article
- Balance-shaped sternal elevation-assisted uniportal subxiphoid video-assisted thoracoscopic surgery for thymoma with persistent left superior vena cava.Gland surgery · 2026Article
- Modified subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance hook sternal elevation device in anterior mediastinal masses.World journal of surgical oncology · 2026Article
- Uniportal subxiphoid thoracoscopic thymectomy using percutaneous suspension technique for giant anterior mediastinal mass resection: a case report.BMC surgery · 2026Article
- Clinical outcomes of subxiphoid uniportal video-assisted thoracoscopic thymectomy using a double sternum retractor versus conventional approaches.Journal of thoracic disease · 2025Article
- Article
- Thymectomy with angioplasty through a thoracoscopic subxiphoid approach with double elevation of the sternum in Masaoka stage III thymoma.JTCVS techniques · 2021Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur study aims to describe the experience of a single team in terms of the potential and benefits of subxiphoid thymectomy using a double sternum hook retractor.
methodsFrom November 2016 to July 2018, 34 patients have been undergone subxiphoid thymectomy at our Department. Twenty patients were diagnosed with Masaoka Stage I-III thymomas, 12 with thymic hyperplasia or cysts of the thymus, 2 with thymic tumors. All patients underwent a chest computed tomography (CT) with enhancement. 18-Fludeoxyglucose positron emission tomography (
resultsThirty-four patients (mean age 54; 12 men and 22 women) with thymic neoformation (from 1.0 cm × 1.0 cm × 1.0 cm to 14.0 cm × 9.0 cm × 4.5 cm) were enrolled. All patients underwent subxiphoid thymectomy. No mortality or recurrence was observed. Median follow-up time was 17.9 months (range, 2.2-23.3 months). The morbidity rate was 9.7 events per 100 person-years. Average pain scores after surgery and after follow-up were 1.7±0.4 and 0.1±0.4, respectively; average mental health and physical health scores on the SF-12 scale were 45.6±2.4 and 33.6±2.4, respectively.
conclusionsSubxiphoid thymectomy is a high satisfaction approach with positive aesthetic outcomes and low pain. Double sternum retractors are especially useful for creating space during thymectomy. However, the qualified experience is needed.
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