A case of thymic cyst resected by thoracoscopic technique through the subxiphoid approach with sternum lifting

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  • 剣状突起下アプローチによる胸骨吊り上げ胸腔鏡下手術により摘出した胸腺嚢胞の一例

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Benign mediastinal tumor is usually resected with thoracotomy or VATS by an intercostal approach. We resected a thymic cyst by a subxiphoid approach with a flexible thoracoscope. An 80-year-old man was referred to our department for evaluation of dry cough. Chest CT and MRI revealed a rounded cystic mass 44×42×38mm in diameter with a clear margin, located at the left side of the anterior mediastinum . It was removed successfully by thoracoscpic technique through the subxiphoid approach with sternum lifting . Histopathologic examination revealed the diagnosis of a thymic cyst . We conclude that this approach is effective for the resection of benign tumors located at the anterior mediastinum.

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