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Ann Thorac Surg 2003;76:1310-1311
© 2003 The Society of Thoracic Surgeons

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Thoracoscopic thymectomy using anterior chest wall lifting method

Mitsunori Ohta, MDa*, Hirohisa Hirabayasi, MDa, Meinoshin Okumura, MDa, Masato Minami, MDa, Hikaru Matsuda, MDa

a Department of General Thoracic Surgery, Osaka University, Graduate School of Medicine, Osaka, Japan

Accepted for publication February 15, 2003.

* Address reprint requests to Dr Ohta, Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, E1-2-2, Yamadaoka, Suita, Osaka 565-0871, Japan
e-mail: ohta{at}surg1.med.osaka-u.ac.jp

We performed a thoracoscopic resection of thymus and thymoma using a novel method whereby the chest wall was lifted by costal hooks placed on the bilateral third ribs. Since the thymus and fat tissue were also elevated, the mediastinal dissection was started at the underlying vessels and pericardium. This technique conforms to the purpose of endoscopic surgery, as it maximizes the operative field and minimizes chest wall trauma. We have applied this approach to benign mediastinal tumor and stage I thymoma with satisfactory results.




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Ann. Thorac. Surg., August 1, 2008; 86(2): 673 - 684.
[Abstract] [Full Text] [PDF]


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