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

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

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.

MeSH terms

  • Consensus
  • Humans
  • Thoracic Surgery, Video-Assisted* / methods
  • Thoracoscopy* / methods
  • Thymoma* / pathology
  • Thymoma* / surgery
  • Thymus Neoplasms* / surgery