This video demonstrates how to create a subxiphoid port for use in wedge resection, lobectomy, or segmentectomy for lung cancer. The best indications for subxiphoid single incision are cN0 lung cancer, metastatic lung cancer, or a right side lesion. Subxiphoid single incision is not a good option for radical mediastinal lymph node dissection, but sampling of every station is quite easy. The limitations of this approach are complete mediastinal lymph node dissection, antracotic lymph nodes, diffuse adhesion, re-operation, and major bleeding management.
Its a very interesting approach. Can you describe the patient position and other nitty-gritties for this approach please? thank you.
Sree.
Traditional decubitus position for lobectomy and possible back side lung lesions
Supine position for bilateral anterior located lung lesions, possible RML lobectomy and localized thymoma
subxiphoid single incision is near the 5-6 intercostal space but route for instruments insertion was parallel to mediastinum
Endoflex by Olympus or Endocameleon by storz are better than traditional 30 degree thoracoscope