ArticleJournal of cardiothoracic surgery2026
Left-hand-dominant subxiphoid thoracoscopic thymectomy: a case series.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLeft-handed surgeons face systemic ergonomic challenges in conventional right-oriented surgical environments. This study proposes a standardized left-dominant protocol for subxiphoid thoracoscopic thymectomy, integrating dual perspectives as a left-handed surgeon and surgical educator.
methodsThis study describes a case series of 82 consecutive thymic mass resections, performed using the left-dominant subxiphoid thoracoscopic approach at Dalian Medical University.
resultsWe analyzed 82 patients, comprising 35 males (42.7%) and 47 females (57.3%). The mean age was 53.3 ± 12.8 years, and the mean tumor size was 4.0 ± 2.2 cm. Histopathological analysis identified 48 thymomas, classified according to WHO, Masaoka, and TNM staging systems, as well as 7 thymic carcinomas and other types. All cases achieved R0 resection without conversion to open thoracotomy. The remaining 81 patients (98.8%) experienced smooth recovery.
conclusionOur results suggest that this left-dominant approach is feasible, safe, and reproducible. The methodology introduces a standardized procedural framework for ambidextrous skill development, offering distinct ergonomic advantages for left-handed surgeons while maintaining compatibility with conventional right-handed techniques.
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