Balance between less invasiveness and radical capability with safety

Hiroyuki Shiono


Various types of minimally invasive procedures have been developed for performing a thymectomy and resection of an anterior mediastinal tumor in order to avoid a sternotomy. Those are usually performed with either thoracic or infrasternal (subxiphoid) access. Recently, surgeons have been attempting to reduce the number and size of the access ports with the goal of less injury to the chest wall. A uniportal (single-port) approach is the final state of such so-called reduced port surgery.