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Ann Thorac Surg 2004;77:2230-2231
© 2004 The Society of Thoracic Surgeons

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Complete port-accessed lobectomy by the muscle-sparing method

^a First Department of Surgery and Division of Endoscopy, Toyama Medical and Pharmaceutical University, Toyama, Japan
^b Department of Respiratory Disease, Tomei-Atsugi Hospital, Atsugi, Japan

Accepted for publication May 2, 2003.

^* Address reprint requests to Dr Doki, First Department of Surgery, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama, 930-0194 Japan
e-mail: ydoki{at}ms.toyama-mpu.ac.jp

We report the case of a 53-year-old woman who underwent complete port-accessed middle lobectomy by a new technique that preserves all muscles, including the extracostal and intercostal muscles. The operation was performed by using only thoracovideoscopy, and the resected lobe was withdrawn in a pouch through a subxiphoid incision through the substernal route. This complete port-accessed lobectomy is a new technique and is thought to be less invasive than video-assisted lobectomy with minithoracotomy.