Subxiphoid Uniportal Video-Assisted Thoracoscopic Surgery Procedure

In recent years, the subxiphoid approach has been used to avoid intercostal nerve damage in the field of thoracic surgery. A subxiphoid single-port thymectomy does not require sternotomy, it is associated with less pain because there is no intercostal nerve damage, and it provides excellent cosmetic outcomes. Furthermore, in 2014, the author and colleagues reported synchronous resection of bilateral pulmonary metastases-by bilateral lung-wedge resection for bilateral metastatic lung tumors with a single 3-cm subxiphoid incision. In this method, a bilateral lung wedge resection is performed synchronously without an intercostal approach and, thus, does not cause intercostal nerve damage and excels in aesthetic outcomes.