Advantages of Single Port Thymectomy via Sub Xiphoid Approach in Lady Reading Hospital Peshawar

Abstract

Objective: To assess the advantages of single-port sub-xiphoid for thymectomy at Lady Reading Hospital Peshawar

Study Design: Retrospective study

Place and Duration of Study: This study was conducted at the Lady Reading Hospital Peshawar from February, 2016 to March, 2022.

Materials and Methods: This study using non-probability convenient sampling technique was conducted of all the consecutive 70 patients that underwent single port sub xiphoid thymectomy. All patients above 18 years scheduled for thymectomy via single-port sub xiphoid approach were included while patients American Society of Anesthesiologists (ASA III or IV) and with incomplete hospital records were excluded. SPSS v23.0 was used for data analysis. Quantitative variables were presented as mean and standard deviation while qualitative variables as frequency and percentage.

Results: From 70 patients (37 males and 33 females) with mean age of 54 ± 17.46 years, only 3 (4.3%) presented with minor perioperative complications, in 3 cases conversion to conventional approach was needed. Mean follow up time was 10 ± 4.30 months. No intra-operative deaths or mortality post-operative was reported.

Conclusion: Single port sub xiphoid approach for thymectomy is very safe and convenient, having minimal complications. It can be administered as a better alternative to the conventional lateral transthoracic approach.