title: Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach.
abstract: Anterior chest wall lifting facilitates a wide view and allows easy access during thoracoscopic surgery in a supine position for anterior mediastinal lesions. We previously reported an anterior chest wall lifting method for a thymectomy that utilizes our original costal hooks. Here, we present a less invasive method that can be performed with only a needle puncture, i.e., a metal plate placed under the ribs is lifted with a wire inserted through the anterior chest wall. We have applied this novel 'T-lifting method' for 5 different cases with anterior mediastinal tumors, and found it to be simple and easy to perform, as well as less invasive for patients undergoing thoracoscopic surgery.
authors.affiliation: General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine, 1248-1 Otoda-cho, Ikoma, Nara, 630-0293, Japan. hshiono@nara.med.kindai.ac.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shiono
authors.affiliation: General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine, 1248-1 Otoda-cho, Ikoma, Nara, 630-0293, Japan.
authors.forename: Tetsuki
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: General Thoracic Surgery, Nara Hospital, Kinki University School of Medicine, 1248-1 Otoda-cho, Ikoma, Nara, 630-0293, Japan.
authors.forename: Teiko
authors.initials: T
authors.lastname: Sakurai
mesh_terms: D000328:Adult; D000368:Aged; D001864:Bone Wires; D004867:Equipment Design; D005260:Female; D006801:Humans; D017770:Lifting; D008479:Mediastinal Neoplasms / Q000601:surgery*; D008482:Mediastinum / Q000601:surgery; D008875:Middle Aged; D011677:Punctures / Q000379:methods; D012272:Ribs / Q000601:surgery; D035441:Thoracic Wall / Q000601:surgery; D013906:Thoracoscopy / Q000295:instrumentation / Q000379:methods*; D013934:Thymectomy / Q000295:instrumentation / Q000379:methods*
keywords: Anterior chest wall lifting; Mediastinum; Thoracoscopic surgery; Thymectomy