RESUMO
The subxiphoid uniportal video assisted thoracoscopic surgery (VATS) is a new interesting approach for the resection of anterior mediastinal masses and lung resections. For this reason in cases with both pathologies is an ideal approach to perform both procedures at the same time without multiple incisions. The evolution in the surgery of thymoma is getting less invasive, from the transsternal thymectomy to the minimally invasive Thoracic surgery improving the recovery of the patients and with satisfactory postoperative results, otherwise the anatomical view of the main structures and the recognition of the vascular anatomy, and his variants is feasible. In those cases with synchronic masses, the Subxiphoid approach is an ideal option in hands of experienced surgeons. In this video, we present the case of a right upper lobectomy and a thymectomy by subxiphoid approach in which the anatomical variations of the thymic artery are well recognized, and both procedures were completed without complications.
RESUMO
When talking about lung cancer, it is important to recognize this as the first cause of death of neoplastic origin. The detection of this in early stages has made the emergence of ground glass opacity (GGO) more frequent due to the establishment of lung cancer screening programs, allowing the reduction of morbidity and mortality caused by the same and achieving a curative treatment of it. The management of multiple GGOs depends much on the characteristics of these, however, being multiple and contralateral should be considered surgical resection, always taking into account the stage of the dominant lesion. In this article, we present a case of a 60 years old woman with a bilateral GGO lesions located in segment 3 on both sides. A bilateral uniportal video-assisted thoracic surgery (VATS) anatomic segmentectomy S3 of both lesions was performed in a single stage surgery. The postoperative course of the patient was uneventful.