title: Extended thymectomy via videothoracoscopy-assisted stepwise-access sternotomy.
abstract: A method of videothoracoscopy-assisted extended thymectomy procedure performed through a movable small access window is introduced. The access window can be moved stepwise and longitudinally alongside full sternotomy to be upon the dissection site. The majority of the thymectomy procedure can be directly viewed and operated from the moving window. However, partial and complete thoracoscopic maneuvers are required for dissection of the lateral-most region near the phrenic nerve and the upper poles of the thymus, respectively.
authors: Department of Thoracic and Cardiovascular Surgery, Kansai Rosai Hospital, Amagasaki, Hyogo, Japan. taiwata@med.osaka-cu.ac.jp
authors: Takashi
authors: T
authors: Iwata
authors: Takashi
authors: T
authors: Yasuoka
authors: Shoji
authors: S
authors: Hanada
authors: Yasuo
authors: Y
authors: Suehiro
authors: Masayuki
authors: M
authors: Sakaki
authors: Akimitsu
authors: A
authors: Nishibayashi
authors: Takuya
authors: T
authors: Miura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007564:Japan; D008875:Middle Aged; D056346:Sternotomy / Q000009:adverse effects; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D013934:Thymectomy / Q000009:adverse effects / Q000379:methods*; D013945:Thymoma / Q000000981:diagnostic imaging / Q000601:surgery*; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult