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J Thorac Cardiovasc Surg 2003;125:432-434
© 2003 The American Association for Thoracic Surgery

Brief Communications

Resection of anterior mediastinal tumor through a ministernotomy: Preliminary experience with ten cases

From the Departments of Thoracic and Cardio-Vascular Surgery CHRU de Caen, Caen, France.

Received for publication May 28, 2002. Accepted for publication June 13, 2002. Address for reprints: Philippe Icard, MD, Department of Thoracic and Cardio-Vascular Surgery, CHRU de Caen, 14033 Caen Cedex, France (E-mail: icard-p@chu-caen.fr).

The first 20% of the full text of this article appears below.

Various minimally invasive surgical approaches have recently been proposed for the management of valvular heart disease ^1,2 and of myasthenia gravis related to thymic hyperplasia. ^3,4 In this report we review our preliminary experience of anterior mediastinal tumor resection through a ministernotomy.

Patients

Since October 2000, a total of 10 patients (6 men and 4 women, mean age 5 years, range 19-73 years) underwent surgical resection through a ministernotomy of a suspected anterior mediastinal tumor or mass measuring less than 7 cm on computed tomographic (CT) scan. The characteristics of all patients and tumor findings are presented in Table 1.

The opening technique was the same as that for aortic and mitral valve operation, a technique that has been previously described in our department by Massetti and colleagues. ² In brief, a midline skin incision (6-7 cm long) was made according to the location of the lesion or tumor visible on CT scan, generally going from the second to the fourth interspace or from the third to the fifth interspace. In all cases the incision was clearly less than half of the length of the sternal bone. The skin and . . . [Full Text of this Article]

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