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Ann Thorac Surg 1999;68:2339-2341
© 1999 The Society of Thoracic Surgeons

Case Reports

Thymic cystectomy through subxyphoid by video-assisted thoracic surgery

Shinji Akamine, MD, PhDa, Takao Takahashi, MDa, Tadayuki Oka, MDa, Koji Kishimoto, MDa, Hiroyoshi Ayabe, MDa

a First Department of Surgery, Nagasaki University School of Medicine, Nagasaki, Japan

Address reprint requests to Dr Akamine, First Department of Surgery, Nagasaki University School of Medicine, 1-7-1, Sakamoto, 852-8501 Nagasaki, Japan
e-mail: shinji{at}net.nagasaki-u.ac.jp

In this paper we present a new technique for thymic cystectomy by video-assisted thoracic surgery. The thoracoscope was inserted using a Vein Harvest (Ethicon Endo-Surgery Co, Ltd, Cincinnati, OH) through a 5-cm subxyphoid incision. A Harmonic Scalpel (Ethicon Endo-Surgery) and Cherry Dissector (Ethicon Endo-Surgery) were used for dissection. The thymic cyst was successfully removed through the incision without thoracotomy. The advantage of this technique is that it is less invasive than video-assisted thoracic surgery through the thorax, removing the need for a thoracotomy.






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Copyright © 1999 by The Society of Thoracic Surgeons.