General Thoracic and Cardiovascular Surgery

, Volume 64, Issue 9, pp 564–567 | Cite as

Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach

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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 bar-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.

Keywords

Anterior chest wall lifting Thoracoscopic surgery Mediastinum Thymectomy 
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Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest to declare.

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Copyright information

© The Japanese Association for Thoracic Surgery 2016

Authors and Affiliations

  • Hiroyuki Shiono
    • 1
  • Tetsuki Sakamoto
    • 1
  • Teiko Sakurai
    • 1
  1. 1.General Thoracic Surgery, Nara HospitalKinki University School of MedicineIkomaJapan

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