Risk factors for diaphragmatic injury in subxiphoid video-assisted thoracoscopic surgery

ConclusionsWe identified the length of the xiphoid below the attachment point on the diaphragm as an independent risk factor for diaphragm injury during subxiphoid VATS. Prior to subxiphoid VATS, a 3D chest CT reconstruction is recommended to assess the patients ’ anatomic variations within the xiphoid process. For patients with longer xiphoid process, a higher incision at the middle and upper part of the xiphoid process, and partial xiphoid process resection or xiphoidectomy is preferred.Graphical abstract
Source: Surgical Endoscopy - Category: Surgery Source Type: research