Abstract： Objective To explore the feasibility and safety of concealing incision video-assisted thoracoscopic surgery （VATS）. Methods We retrospectively analyzed the clinical data of 11 patients who underwent concealing incision VATS in West China Hospital of Sichuan University between September and November 2011. There were 2 male patients and 9 female patients with their mean age of 34.0 years （ranging from 16 to 59 years）. There were 4 patients with myasthenia gravis, 4 patients with thymoma, 2 patients with thymus cyst, and 1 patient with hyperhidrosis.
Extended thoracoscopic thymectomy was performed in 10 patients, and endoscopic thoracic sympathectomy was performed in 1 patient. Results All the VATS procedures were performed successfully, and there was no intraoperative and postoperative complication. The operation time ranged from 30 to 105 minutes with an average time of 70.5 minutes. All the intraoperative blood loss was less than 5 ml. The time of postoperative thoracic drainage was less than 48 hours, and the drainage volume ranged from 30 to 80 ml with a mean volume of 55.5 ml. The mean postoperative hospital stay was 3.5 （2-4）days. The incision was small with a concealed and esthetic appearance. For 10 patients with extended thoracopscopic thymectomy, histopathology test aftre operation showed 4 patients with thymic hyperplasia, 4 with thymoma, and 2 with cystofthymus. Conclusion Concealing incision VATS is a safe and feasible technique, and it can meet the esthetic requirement of patients.
Citation：
ZHANG Zhenming,WANG Yun,SONG Yu.. Concealing Incision Video-assisted Thoracoscopic Surgery for 11 Patients. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(3): 283-285. doi:
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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刘伦旭， 车国卫， 蒲强， 等. 单向式全胸腔镜肺叶切除术. 中华胸心血管外科杂志， 2008， 24 （3）：156-158.
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涂远荣， 李旭， 林敏， 等. 胸腔镜下胸交感神经干切断术的临床研究（附 20例报告） . 中国微创外科杂志， 2005， 5 （12）：993-994.
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Port JL， Ginsberg RJ. Surgery for thymoma. Chest Surg Clin N Am， 2001， 11 （2）：421-437.
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Kondo K， Monden Y. Thymoma and myasthenia gravis：a clinical study of 1,089 patients from Japan. Ann Thorac Surg， 2005， 79 （1）：219-224.
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张云峰， 马山， 李建业， 等. 电视胸腔镜胸腺切除术与开放性手术的对比分析. 中华外科杂志， 2009， 47 （5）：366-368.
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Shiono H， Kadota Y， Hayashi A， et al. Comparison of outcomes after extended thymectomy for myasthenia gravis：bilateral thoracoscopic approach versus sternotomy. Surg Laparosc Endosc Percutan Tech， 2009， 19 （6）：424-427.
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杨劼， 谭家驹. 手汗症的内镜手术方法. 中国内镜杂志， 2003， 9 （10）：51-52.
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Toker A， Tanju S， Ziyade S， et al. Early outcomes of video-assisted thoracoscopic resection of thymus in 181 patients with myasthenia gravis：who are the candidates for the next morning discharge? Interact Cardiovasc Thorac Surg， 2009， 9 （6）：995-998.
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| 13. |
Toker A， Erus S， Ozkan B， et al. Does a relationship exist between the number of thoracoscopic thymectomies performed and the learning curve for thoracoscopic resection of thymoma in patients with myasthenia gravis?Interact Cardiovasc Thorac Surg， 2011， 12 （2）：152-155.
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| 14. |
Pennathur A， Qureshi I， Schuchert MJ， et al. Comparison of surgical techniques for early-stage thymoma：feasibility of minimally invasive thymectomy and comparison with open resection. J Thorac Cardiovasc Surg， 2011， 141 （3）：694-701.
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| 15. |
Pompeo E， Tacconi F， Massa R， et al. Long-term outcome of thoracoscopic extended thymectomy for nonthymomatous myasthenia gravis. Eur J Cardiothorac Surg， 2009， 36 （1）：164-169.
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- 1. 刘伦旭， 车国卫， 蒲强， 等. 单向式全胸腔镜肺叶切除术. 中华胸心血管外科杂志， 2008， 24 （3）：156-158.
- 2. 陈应泰， 王俊， 刘军， 等. 纵隔肿瘤的胸腔镜手术治疗. 中国微创外科杂志， 2002， 2 （5）：283-285.
- 3. Sugarbaker DJ. Thoracoscopy in the management of anterior mediastinal masses. Ann Thorac Surg， 1993， 56 （3）：653-656.
- 4. Roviaro G， Rebuffat C， Varoli F， et al. Videothoracoscopic excision of mediastinal masses：indications and technique. Ann Thorac Surg， 1994， 58 （6）：1679-1683.
- 5. Kux E. The endoscopic approach to the vegetative nervous system and its therapeutic possibilities；especially in duodenal ulcer， angina pectoris，hypertension and diabetes. Dis Chest， 1951， 20 （2）：139-147.
- 6. 涂远荣， 李旭， 林敏， 等. 胸腔镜下胸交感神经干切断术的临床研究（附 20例报告） . 中国微创外科杂志， 2005， 5 （12）：993-994.
- 7. Port JL， Ginsberg RJ. Surgery for thymoma. Chest Surg Clin N Am， 2001， 11 （2）：421-437.
- 8. Kondo K， Monden Y. Thymoma and myasthenia gravis：a clinical study of 1,089 patients from Japan. Ann Thorac Surg， 2005， 79 （1）：219-224.
- 9. 张云峰， 马山， 李建业， 等. 电视胸腔镜胸腺切除术与开放性手术的对比分析. 中华外科杂志， 2009， 47 （5）：366-368.
- 10. Shiono H， Kadota Y， Hayashi A， et al. Comparison of outcomes after extended thymectomy for myasthenia gravis：bilateral thoracoscopic approach versus sternotomy. Surg Laparosc Endosc Percutan Tech， 2009， 19 （6）：424-427.
- 11. 杨劼， 谭家驹. 手汗症的内镜手术方法. 中国内镜杂志， 2003， 9 （10）：51-52.
- 12. Toker A， Tanju S， Ziyade S， et al. Early outcomes of video-assisted thoracoscopic resection of thymus in 181 patients with myasthenia gravis：who are the candidates for the next morning discharge? Interact Cardiovasc Thorac Surg， 2009， 9 （6）：995-998.
- 13. Toker A， Erus S， Ozkan B， et al. Does a relationship exist between the number of thoracoscopic thymectomies performed and the learning curve for thoracoscopic resection of thymoma in patients with myasthenia gravis?Interact Cardiovasc Thorac Surg， 2011， 12 （2）：152-155.
- 14. Pennathur A， Qureshi I， Schuchert MJ， et al. Comparison of surgical techniques for early-stage thymoma：feasibility of minimally invasive thymectomy and comparison with open resection. J Thorac Cardiovasc Surg， 2011， 141 （3）：694-701.
- 15. Pompeo E， Tacconi F， Massa R， et al. Long-term outcome of thoracoscopic extended thymectomy for nonthymomatous myasthenia gravis. Eur J Cardiothorac Surg， 2009， 36 （1）：164-169.
