左手优势剑突下胸腔镜胸腺切除术：病例系列
Left-hand-dominant subxiphoid thoracoscopic thymectomy: a case series.
摘要(中文译文)
左手外科医生在传统以右侧为主导的手术环境中面临着系统性的工效学挑战。本研究提出了一套标准化的左利手主导方案，用于剑突下胸腔镜胸腺切除术，并融合了左手外科医生与外科教育者的双重视角。本研究描述了大连医科大学采用左利手主导剑突下胸腔镜入路连续完成的82例胸腺肿块切除术的病例系列。我们分析了82例患者，其中男性35例（42.7%），女性47例（57.3%）。平均年龄为53.3 ± 12.8岁，平均肿瘤大小为4.0 ± 2.2 cm。组织病理学分析确定了48例胸腺瘤（根据WHO、Masaoka和TNM分期系统进行分类），以及7例胸腺癌和其他类型。所有病例均实现了R0切除，无一例中转开胸。其余81例患者（98.8%）恢复顺利。我们的结果表明，这种左利手主导入路可行、安全且可重复。该方法学为双手操作技能的发展引入了标准化的手术框架，为左手外科医生提供了明显的工效学优势，同时与传统右手技术保持兼容性。
Abstract
Left-handed surgeons face systemic ergonomic challenges in conventional right-oriented surgical environments. This study proposes a standardized left-dominant protocol for subxiphoid thoracoscopic thymectomy, integrating dual perspectives as a left-handed surgeon and surgical educator. This study describes a case series of 82 consecutive thymic mass resections, performed using the left-dominant subxiphoid thoracoscopic approach at Dalian Medical University. We analyzed 82 patients, comprising 35 males (42.7%) and 47 females (57.3%). The mean age was 53.3 ± 12.8 years, and the mean tumor size was 4.0 ± 2.2 cm. Histopathological analysis identified 48 thymomas, classified according to WHO, Masaoka, and TNM staging systems, as well as 7 thymic carcinomas and other types. All cases achieved R0 resection without conversion to open thoracotomy. The remaining 81 patients (98.8%) experienced smooth recovery. Our results suggest that this left-dominant approach is feasible, safe, and reproducible. The methodology introduces a standardized procedural framework for ambidextrous skill development, offering distinct ergonomic advantages for left-handed surgeons while maintaining compatibility with conventional right-handed techniques.
如何引用
AMA
Haodan Shi, Yixiang Zhang. Left-hand-dominant subxiphoid thoracoscopic thymectomy: a case series.. Journal of cardiothoracic surgery. 2026; doi:10.1186/s13019-026-04374-5.
APA
Haodan Shi, Yixiang Zhang (2026). Left-hand-dominant subxiphoid thoracoscopic thymectomy: a case series.. Journal of cardiothoracic surgery. https://doi.org/10.1186/s13019-026-04374-5
GB/T 7714
Haodan Shi, Yixiang Zhang. Left-hand-dominant subxiphoid thoracoscopic thymectomy: a case series.[J]. Journal of cardiothoracic surgery, 2026 doi:10.1186/s13019-026-04374-5.
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