Single port VATS mediastinal tumor resection: Taiwan experience

Ching Yang Wu, Ming Ju Heish, Ching Feng Wu*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations

Abstract

Background: To present the technique of single-port video-assisted thoracoscopic mediastinal tumor resection, which includes limited thymectomy, extended thymectomy, cyst excision and posterior mediastinal tumor excision, and the early results of resection with the use of this technique. Methods: Forty patients with mediastinal tumors were treated with single-port thoracoscopic mediastinal resection at Chang Gung Memorial Hospital between April 2014 and September 2015. The surgical intervention was performed through the fourth or fifth intercostal space at the anterior axillary line. A 5 or 10 mm 30 degree video camera and working instruments were employed simultaneously at this incision site throughout the surgery. Results: Among the 40 cases included in the final analysis, 10 extended thymectomies, 7 limited thymectomies, nine cyst excisions and 14 tumor excisions were performed successfully without the need for conversion. For the 40 patients who underwent single-port video-assisted thoracoscopic surgery (VATS), the mean operation time was 97.3±31.2 min and the average blood loss was 29.75±39.77 mL. The average length of the incision wound was 3.22±0.79 cm and the average length of postoperative hospital stay was 3.72±1.63 days. There were no mortalities and mobility was achieved within 30 days postoperatively. Conclusions: Our preliminary report suggests that uniportal VATS for mediastinal tumor resection is a promising and safe technique within a short-term period.

Original languageEnglish
Pages (from-to)107-111
Number of pages5
JournalAnnals of Cardiothoracic Surgery
Volume5
Issue number2
DOIs
StatePublished - 01 03 2016

Bibliographical note

Publisher Copyright:
© Annals of Cardiothoracic Surgery.

Keywords

  • Extended thymectomy
  • Mediastinum tumor
  • Minimally invasive surgery
  • Single port video-assisted thoracoscopic surgery (VATS)

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