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. 2025 Jun;16(12):e70094.
doi: 10.1111/1759-7714.70094.

Expert Consensus on Subxiphoid and Subcostal Arch Thoracoscopic Resection for the Treatment of Thymoma

Xunliang Yin  1 , Hongtao Duan  1 , Zhengwei Zhao  1 , Xiuyi Zhi  2 , Gening Jiang  3 , Shugeng Gao  4 , Chun Chen  5 , Haiquan Chen  6 , Xiaofei Li  7 , Jian Hu  8 , Lanjun Zhang  9 , Hecheng Li  10 , Zhentao Yu  4 , Hui Tian  11 , Zhenfa Zhang  12 , Q I Xue  4 , Yunchao Huang  13 , Junqiang Fan  14 , Qing Geng  15 , Dong Chao  16 , Taiqian Gong  17 , Wenjie Jiao  18 , Zhigang Li  19 , Hongjing Jiang  12 , Yufeng Ba  20 , Jigang Dai  21 , Bo Deng  22 , Shuchen Chen  5 , Shouyin Di  23 , Jianyong Ding  24 , Liang Duan  3 , Jiang Fan  25 , Yingtong Feng  26 , Yunjiu Gou  27 , Zhitao Gu  28 , Yong Han  29 , Jinxi He  30 , Xiaomin He  31 , Jianbin Hou  32 , Feng Jiang  33 , Bin Li  34 , Qingxin Li  16 , Shuben Li  35 , Xiangnan Li  36 , Chunguang Li  19 , Zhongcheng Li  37 , Jianhong Lian  38 , Junguo Liang  39 , Naixin Liang  40 , Jiangbo Lin  5 , Dazhi Liu  41 , Huifeng Liu  42 , Junfeng Liu  43 , Wei Liu  44 , Yangchun Liu  45 , Shumin Wang  46 , Shijie Zhang  47 , Shaohua Ma  48 , Nan Wu  48 , Wenhao Liu  49 , Jun Yi  49 , Chenxi Zhong  19 , Songtao Xu  24 , Shengmao Ma  50 , Hui Sun  51 , Hai Xu  52 , Li Wei  53 , Qiang Pu  54 , Ruixiang Zhang  20 , Wenxiang Wang  55 , Desong Yang  55 , Jiufa Wu  56 , Nan Sun  57 , Ping Xu  58 , Haitao Ma  59 , Lei Xue  60 , Shunkai Zhou  61 , Haidong Wang  62 , Enwu Xu  63 , Guangxia Wei  64 , Kun Wang  65 , Guofang Zhao  66 , Zhongmin Peng  67 , Guoqiang Yin  68 , Xueliang Yang  38 , Teng Mao  3 , Deping Zhao  3 , Hua Tang  69 , Jiandong Mei  54 , Yun Wang  54 , Weiguo Jin  70 , Dongsheng Yue  12 , Hao Zhang  71 , Liwei Zhang  72 , Dianbo Li  73 , Yongfu Ma  23 , Saibo Pan  74 , Luming Wang  74 , Ming Wu  74 , Zixiang Wu  74 , Yanhe Su  75 , Yu Qi  36 , Jianjun Qin  76 , Hongcan Shi  70 , Guangqiang Zhao  13 , Fengwei Tan  76 , Tianhu Wang  77 , Han Yang  9 , Haoxian Yang  9 , Yingguo Zhang  78 , Kai Cui  7 , Wuping Wang  7 , Wenhai Li  7 , Ting Chang  1 , Kai Guo  79 , Yawei Dou  79 , Shudong Li  79 , Dong Han  79 , Kunxiang Gao  80 , Chao Ding  80 , Yong Zhang  81 , Guangjian Zhang  81 , Junke Fu  81 , Wen Liu  82 , Qingchun Liu  83 , Xi Zhang  84 , Weidong Lv  84 , Jia Liu  84 , Guangyan Lei  84 , Yunfeng Zhang  85 , Tao Xu  86 , Yong Zhang  87 , Xiaoquan Ding  88 , Hongtao Tang  89 , Xiaoping Liang  90 , Xiaokang Zhang  89 , Peng Ge  91 , Junqi Wang  92 , Jiantao Jiang  93 , Jianzhong Li  93 , Ruibin Xu  94 , Yize Guo  1 , Mingliang Xing  1 , Jiakuan Chen  1 , Honggang Liu  1 , Ende Yang  1 , Shaoyi Cheng  1 , Liping Tong  1 , Haihua Guo  1 , Tao Wang  1 , Guang Yang  1 , Jianyong Sun  1 , Yongshi Liu  1 , Nianlin Xie  1 , Lei Wang  1 , Feng Tian  1 , Daixing Zhong  1 , Yunfeng Ni  1 , Jian Wang  1 , Jinbo Zhao  1 , Jie Lei  1 , Lijun Huang  1 , Zhongping Gu  1 , Tao Zhang  1 , Xiaoping Wang  1 , Tao Jiang  1 , Qiang Lu  1 , Xiaolong Yan  1 , Yongan Zhou  1
Affiliations

Expert Consensus on Subxiphoid and Subcostal Arch Thoracoscopic Resection for the Treatment of Thymoma

Xunliang Yin et al. Thorac Cancer. 2025 Jun.

Abstract

Surgery is the primary treatment for thymoma. Although subxiphoid and subcostal arch thoracoscopic thymoma surgery is widely used, there is currently a lack of consensus regarding its use, nor have standards been established. Based on the surgical experience of many domestic thoracic surgery centers, the Department of Thoracic Surgery of Tangdu Hospital of Air Force Medical University has formulated this expert consensus regarding key clinical issues related to thoracoscopic thymoma surgery, including preoperative evaluation, surgical indications, preoperative preparation, surgical details, perioperative management, postoperative treatment, and follow-up. Our aim is to provide consistent and clear guidance for fellow thoracic surgeons to ensure patient safety while optimizing the treatment effect.

Keywords: VATS; expert consensus; subxiphoid and subcostal arch; thymoma.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
The nine‐zone method.
See this image and copyright information in PMC

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