ArticleJTCVS techniques2022
Subxiphoid-subcostal versus transthoracic thoracoscopic thymectomy: A safe and feasible approach.
Article in JTCVS techniques, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Same-day discharge for patients undergoing subxiphoid thoracoscopic thymectomy for small tumours without myasthenia gravis: a prospective, single-arm clinical trial.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Trial
- Technical feasibility and early outcomes of single-port robotic mediastinal mass resection through subxiphoid, intercostal, and subcostal approaches.Journal of robotic surgery · 2026Article
- Balance-shaped sternal elevation-assisted uniportal subxiphoid video-assisted thoracoscopic surgery for thymoma with persistent left superior vena cava.Gland surgery · 2026Article
- Effect of surgical management for anterior mediastinal large mass: a retrospective cohort study.Journal of thoracic disease · 2026Article
- What is the learning curve of the "outside the cage" robotic approach?-a prospective single-center study.Journal of thoracic disease · 2026Article
- Comparison of subxiphoid and lateral intercostal approaches for video-assisted thoracoscopic extended thymectomy: a retrospective cohort study.Frontiers in surgery · 2026Article
- Maintaining Surgical Principles While Transitioning From Multiport to Single-port Robotic Thymectomy.Annals of thoracic surgery short reports · 2025Article
- Initial results of uniportal and robot-assisted subxiphoid thymectomy.Journal of thoracic disease · 2024Article
- Choosing the proper path: outcomes of subxiphoid vs. lateral intercostal approaches in the resection of anterior mediastinal masses.Frontiers in surgery · 2024Article
- Surgical treatment of thymic epithelial tumor and myasthenia gravis.Frontiers in surgery · 2024Review
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective: Subxiphoid-subcostal thoracoscopic thymectomy (ST) is an emerging alternative to transthoracic thoracoscopic thymectomy. Potential advantages of ST are the avoidance of intercostal incisions and visualization of both phrenic nerves in their entirety. We describe our experience with ST and compare our results to our previous experience with transthoracic thoracoscopic thymectomy. Methods: We conducted an institutional review board-exempt retrospective review of all patients who had a minimally invasive thymectomy from August 2008 to October 2021. We excluded patients with a previous sternotomy or radiological evidence of invasion into major vasculature. The ST approach involved 1 subxiphoid port for initial access, 2 subcostal ports on each side, and carbon dioxide insufflation. We used descriptive and comparative statistics on demographic, operative, and postoperative data. Results: We performed ST in 40 patients and transthoracic thoracoscopic thymectomy in 16 patients. The median age was higher in the ST group (58 years vs 34 years; Conclusions: ST is safe and has similar outcomes compared with transthoracic thoracoscopic thymectomy.
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