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Ann Thorac Surg 1999;67:263-265
© 1999 The Society of Thoracic Surgeons

How To Do It

Resection of anterior mediastinal masses through an infrasternal approach

Tetsuo Kido, MDa, Kenji Hazama, MDa, Youichi Inoue, MDa, Yasuhiro Tanaka, MDa, Tetsuto Takao, MDa

a Department of Surgery, Osaka Prefectural General Hospital, Osaka, Japan

Accepted for publication July 2, 1998.

Address reprint requests to Dr Kido, Department of Surgery, Osaka Police Hospital, 10-31, Kitayama-chou, Tennouji-ku, Osaka, 543-8502, Japan

A video-assisted surgical technique for benign anterior mediastinal lesions is described. In 3 patients, the Laparolift system was used to lift the lower sternum before resection. This operation is less invasive and cosmetically more pleasing than median sternotomy. Unlike thoracoscopy, this procedure avoids opening the chest and can be performed in patients with pleural adhesions or pulmonary insufficiency in whom differential lung ventilation is impossible. At present, this technique is considered suitable only for benign lesions.




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