Abstract
Objectives: Subksiphoid incision is one of the most recently used options for minimal invasive thoracic surgery. Mostly it is used for opening for pericardial window and thymectomy operations. We aimed to report our experience of 5 cases making lung resection by subxiphoid videothoracoscopy.
Methods: In 2016-2018, we made subxiphoid single incision video-assisted thoracoscopic lung resections to 5 cases. 2 of them are middle lobe bronchiectasis, 2 of them are middle lobe tumor and one case is hydatid cyst.
Results: We operated 2 middle lob tumor which are diagnosed as adenocarcinom and two middle lob bronciectasis and we made 1 cystotomy and capitonage to hydatid cyst patient thoracoscopically by subxiphoid incision. The average hospital length stay was 4 days. There was no complication peroperative and postoperative period. The average operation time was 2 hours. We take the drain postoperative second day out in each patient by looking amount of drainage and graphy. patient’s postoperative VAS score was 1 in early period and zero 2 month later.
Conclusions: As an alternative approach, subxiphoid single incision VATS defined to be safe and reliable for bilateral lung disease and was reported to significantly relieve postoperative incision pain. We prefer the subxiphoid videothoracoscopic lung resection at the right side and the middle lobe if possible in lung cancer or benign disease. It is difficult to dissection number7 lymph node and we offer second camera port/drain port for this.
Footnotes
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA1098.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2019