{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T21:29:26Z","timestamp":1764192566594,"version":"3.37.3"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Key projects of nanjing medical science and technology","award":["ZKX17045"],"award-info":[{"award-number":["ZKX17045"]}]},{"name":"Jiangsu medical talents program","award":["QNRC2016124"],"award-info":[{"award-number":["QNRC2016124"]}]},{"DOI":"10.13039\/501100005145","name":"Basic Research Program of Jiangsu Province","doi-asserted-by":"publisher","award":["BK20200156"],"award-info":[{"award-number":["BK20200156"]}],"id":[{"id":"10.13039\/501100005145","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>To describe a technique of non-intubated uniportal subxiphoid thoracoscopic extended thymectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data were collected retrospectively. A single 3-cm transverse incision was made below the xiphoid process. This method for extended thymectomy entails adoption of uniportal subxiphoid VATS combined with using of non-intubated anesthesia for thymoma associated with myasthenia gravis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Ten consecutive patients underwent this procedure successfully. Mean operative time was 102.5 min. Conversion to intubated ventilation or thoracotomy was not required.<\/jats:p>\n                <jats:p>Mean chest tube duration was 3.5 days. Mean postoperative hospital stay was 4.7 days. Histologic examination showed early-stage thymomas. Side effects were rare. Quantitative MG scores decreased during follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients were uneventfully discharged with fast recovery. This technique may merge the potential benefits of a subxiphoid incision and the non-intubated anesthesia protocol.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12957-021-02430-z","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T06:03:08Z","timestamp":1639029788000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Non-intubated uniportal subxiphoid thoracoscopic extended thymectomy for thymoma associated with myasthenia gravis"],"prefix":"10.1186","volume":"19","author":[{"given":"Zhengcheng","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louqian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weifeng","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4984-1460","authenticated-orcid":false,"given":"Rusong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"2430_CR1","doi-asserted-by":"publisher","first-page":"1463","DOI":"10.1016\/j.jtcvs.2017.05.084","volume":"154","author":"E Pompeo","year":"2017","unstructured":"Pompeo E, Dauri M, Massa R, Peer M. Minimalist thoracoscopic resection of thymoma associated with myasthenia gravis. J Thorac Cardiovasc Surg. 2017;154:1463\u20135.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2430_CR2","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1093\/icvts\/ivz181","volume":"29","author":"Z Liu","year":"2019","unstructured":"Liu Z, Yang R, Sun Y. Non-intubated subxiphoid uniportal video-assisted thoracoscopic thymectomy. Interact Cardiovasc Thorac Surg. 2019;29:742\u20135.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2430_CR3","doi-asserted-by":"publisher","first-page":"1882","DOI":"10.1016\/j.jtcvs.2017.11.045","volume":"155","author":"L Jiang","year":"2018","unstructured":"Jiang L, Depypere L, Rocco G, Chen JS, Liu J, Shao W, et al. Spontaneous ventilation thoracoscopic thymectomy without muscle relaxant for myasthenia gravis: comparison with \u201cstandard\u201d thoracoscopic thymectomy. J Thorac Cardiovasc Surg. 2018;155:1882\u20139.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2430_CR4","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1016\/j.thorsurg.2017.06.006","volume":"27","author":"T Suda","year":"2017","unstructured":"Suda T. Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery Procedure. Thorac Surg Clin. 2017;27:381\u20136.","journal-title":"Thorac Surg Clin"},{"issue":"5","key":"2430_CR5","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1055\/s-0039-1696950","volume":"68","author":"Z Liu","year":"2020","unstructured":"Liu Z, Yang R. Comparison of subxiphoid and intercostal uni-portal thoracoscopic thymectomy for non-myasthenic early-stage thymoma: a retrospective single-center propensity-score matched analysis. Thorac Cardiovasc Surg. 2020;68(5):450\u20136.","journal-title":"Thorac Cardiovasc Surg."},{"issue":"05","key":"2430_CR6","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1055\/s-0039-1696950","volume":"68","author":"Z Liu","year":"2020","unstructured":"Liu Z, Yang R. Non-intubated uniportal thoracoscopic thymectomy with laryngeal mask for anterior mediastinum lesion. Thorac Cardiovasc Surg. 2020;68(05):450\u20136.","journal-title":"Thorac Cardiovasc Surg."}],"container-title":["World Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12957-021-02430-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12957-021-02430-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12957-021-02430-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T06:06:26Z","timestamp":1639029986000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjso.biomedcentral.com\/articles\/10.1186\/s12957-021-02430-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2430"],"URL":"https:\/\/doi.org\/10.1186\/s12957-021-02430-z","relation":{},"ISSN":["1477-7819"],"issn-type":[{"type":"electronic","value":"1477-7819"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"17 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study for the application of non-intubated uniportal subxiphoid thoracoscopic extended thymectomy was approved by the institutional review board at our hospital (number of the ethics approval: 2018-KL-002-01), written informed consent about operative techniques and to the data-use agreement was obtained from all patients before surgery.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"342"}}