{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T17:33:34Z","timestamp":1774460014506,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"02","funder":[{"name":"Key project of Nanjing medical science and technology program","award":["ZKX17045"],"award-info":[{"award-number":["ZKX17045"]}]},{"name":"Jiangsu medical talents project","award":["QNRC2016124"],"award-info":[{"award-number":["QNRC2016124"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The aim of this study was to compare early outcome between intercostal uniportal video-assisted thoracoscopic surgery (IU-VATS) versus subxiphoid uniportal video-assisted thoracoscopic surgery (SU-VATS) in thymectomy for non-myasthenic early-stage thymoma.<\/jats:p><jats:p>\n          Method\u2003Retrospective analysis of 76 cases completed in our hospital from May 2018 to September 2019 with subxiphoid uniportal thoracoscopic thymectomy; a single incision of \u223c3\u2009cm was made \u223c1\u2009cm under the xiphoid process. The control group included 213 patients who received intercostal uniportal thoracoscopic thymectomy from August 2015, and propensity score matching was conducted. All patients who were clinically diagnosed with thymic tumor before surgery were treated with thymectomy. Perioperative outcomes between SU-VATS (n\u2009=\u200976) and IU-VATS, n\u2009=\u200976 were compared.<\/jats:p><jats:p>\n          Result\u2003After propensity score matching, there were no statistically significant differences between the two groups in terms of age, gender, disease stage, maximal tumor size, or other baseline demographic and clinical variables. All operation was successfully completed; there were no significant differences in the operative time (88 vs. 81\u2009minutes, p\u2009=\u20090.63), intraoperative blood loss (55 vs. 46\u2009mL, p\u2009=\u20090.47), postoperative drainage time (2.2 vs. 2.5 days, p\u2009=\u20090.72), and postoperative hospital stay (3.2 vs. 3.4 days, p\u2009=\u20090.78) between the two groups. The visual analog scale (VAS) on postoperative days 1, 3, 7, and 30 was less in the SU-VATS group than that in the IU-VATS group. The VAS on days 60 and 180 did not differ significantly between the two groups.<\/jats:p><jats:p>\n          Conclusion\u2003Thymectomy using SU-VATS is a feasible procedure; it might reduce early postoperative pain and lead to faster recovery.<\/jats:p>","DOI":"10.1055\/s-0040-1713878","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T22:41:40Z","timestamp":1599259300000},"page":"173-180","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of Subxiphoid and Intercostal Uniportal Thoracoscopic Thymectomy for Nonmyasthenic Early-Stage Thymoma: A Retrospective Single-Center Propensity-Score Matching Analysis"],"prefix":"10.1055","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4472-4807","authenticated-orcid":false,"given":"Zhengcheng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Chest Hospital, Treatment and Research Center for Pulmonary Nodule in Nanjing Medical University, Nanjing, China"},{"name":"Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rusong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Chest Hospital, Treatment and Research Center for Pulmonary Nodule in Nanjing Medical University, Nanjing, China"},{"name":"Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,4]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.athoracsur.2015.07.084","article-title":"Is thymomectomy alone appropriate for Stage I (T1N0M0) thymoma? Results of a propensity score analysis","volume":"101","author":"K Nakagawa","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1016\/j.athoracsur.2017.03.054","article-title":"Video-assisted thoracic surgery thymectomy versus sternotomy thymectomy in patients with thymoma","volume":"104","author":"H Agatsuma","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1093\/ejcts\/ezx042","article-title":"Comparison of surgical approach and extent of resection for Masaoka-Koga Stage I and II thymic tumours in Europe, North America and Asia: an International Thymic Malignancy Interest Group retrospective database analysis","volume":"52","author":"W Fang","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref4","first-page":"1","article-title":"Minimally invasive versus open thymectomy: a systematic review of surgical techniques, patient demographics, and perioperative outcomes","volume":"5","author":"N R Hess","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"issue":"01","key":"ref5","first-page":"56","article-title":"Single-port thymectomy using a subxiphoid approach-surgical technique","volume":"5","author":"T Suda","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"issue":"01","key":"ref6","first-page":"119","article-title":"Effect of a combined continuous and intermittent transcutaneous electrical nerve stimulation on pain perception of burn patients evaluated by visual analog scale: a pilot study","volume":"8","author":"I P\u00e9rez-Ruvalcaba","year":"2015","journal-title":"Local Reg Anesth"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"680","DOI":"10.21037\/jtd.2016.03.16","article-title":"Thymectomy versus tumor resection for early-stage thymic malignancies: a Chinese Alliance for Research in Thymomas retrospective database analysis","volume":"8","author":"Z Gu","year":"2016","journal-title":"J Thorac Dis"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1093\/icvts\/ivz181","article-title":"Non-intubated subxiphoid uniportal video-assisted thoracoscopic thymectomy","volume":"29","author":"Z Liu","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.thorsurg.2017.06.006","article-title":"Subxiphoid uniportal video-assisted thoracoscopic surgery procedure","volume":"27","author":"T Suda","year":"2017","journal-title":"Thorac Surg Clin"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1007\/s00464-016-5027-2","article-title":"Comparison of oncological results for early- and advanced-stage thymomas: thoracoscopic thymectomy versus open thymectomy","volume":"31","author":"M Odaka","year":"2017","journal-title":"Surg Endosc"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"e214","DOI":"10.1093\/ejcts\/ezt305","article-title":"The oncological feasibility and limitations of video-assisted thoracoscopic thymectomy for early-stage thymomas","volume":"44","author":"T Kimura","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1007\/s00268-016-3783-8","article-title":"The subxiphoid approach leads to less invasive thoracoscopic thymectomy than the lateral approach","volume":"41","author":"M Yano","year":"2017","journal-title":"World J Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1713878.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T06:57:17Z","timestamp":1615877837000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1713878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,4]]},"references-count":12,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2021,3,14]]},"published-print":{"date-parts":[[2021,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1713878","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,4]]}}}