Evidence map›Paper›PMID 42106723›Full record

ArticleWorld journal of surgical oncology2026

Modified subxiphoid uniportal video-assisted thoracoscopic surgery with percutaneous suspension technique via balance hook sternal elevation device in anterior mediastinal masses.

Yibo Shan, Yafei Bao, Hong Guo, Kang Feng, Jian Wu, Gangqiang Wang, Tao Wu, Yi Lu, Qingtong Shi

Abstract read
In one paragraph

Article in World journal of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yibo Shan *Department of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Yafei Bao *Department of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Hong GuoDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Kang FengDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Jian WuDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Gangqiang WangDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Tao WuDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China.
Yi LuDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China. yzu_luyi@163.com.
Qingtong ShiDepartment of Thoracic Surgery, Affiliated Hospital of Yangzhou University, Yangzhou, China. 090782@yzu.edu.cn.

Funding

Yangzhou Foundation for Basic Research (Joint Program) 2024-2-07Yangzhou Science and Technology Project YZ2023126Yangzhou University Research Fund for High-Level Talents 2025BSQDJJ-SYB
6 · The paper itself

Abstract

objectiveTo explore the clinical value of the modified subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) with percutaneous suspension technique via "balance hook sternal elevation device" in anterior mediastinal masses.

methodsPatients who underwent balance hook-assisted subxiphoid uniportal VATS for anterior mediastinal masses resection in the Department of Thoracic Surgery, Affiliated Hospital of Yangzhou University, between September 2025 and January 2026 were included. Clinical data and perioperative indicators were analyzed.

resultsA total of 16 patients were enrolled, comprising 6 males and 10 females, with ages ranging from 34 to 75 years. Tumor size ranged from 1.3 to 5.2 cm in the longest diameter. The operative time was 75-265 min, with an estimated blood loss of 10-100 mL. The Visual Analogue Scale (VAS) pain score was 4-7 on postoperative day 1, which decreased to 1-3 on postoperative day 3. Postoperative thoracic drainage duration was 2-7 days, and the postoperative hospital stay ranged from 3 to 9 days. Complete and safe resection of the tumor and thymus was successfully achieved in all patients. All patients recovered well postoperatively without significant complications.

conclusionThe modified "balance hook sternal elevation device" assisted technique effectively enlarges the retrosternal space, providing a satisfactory surgical field and adequate operating space for subxiphoid uniportal VATS. It ensures clear visualization of anterior mediastinal structures and facilitates the necessary extent of resection. The percutaneous suspension technique obviates the need for xiphoid resection, reduces sternal trauma, and further minimizes surgical injury. The combination of these two approaches holds potential clinical significance and application value in optimizing the efficacy and safety of minimally invasive anterior mediastinal surgery, minimizing surgical trauma and postoperative pain, and enhancing postoperative recovery for patients.

Indexed as

Mediastinal NeoplasmsSternumThoracic Surgery, Video-AssistedAdultAgedFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedOperative TimePrognosisXiphoid BoneAnterior mediastinal massesBalance hookPercutaneous suspensionSternal elevationSubxiphoid approachUniportal video-assisted thoracoscopic surgery

Identifiers

PMID42106723
PMCPMC13326563

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.