The Safety and Feasibility of Laryngeal Mask Airway Management in Nonintubated Subxiphoid–Subcostal Thoracoscopic Thymectomy: Preliminary Results

Peng Cao; Yu Deng; Wensheng Qu; Yi Zhang; Fan Li; Bo Zhao

doi:10.1016/j.jss.2026.07.028

August 14, 2026Journal of Surgical ResearchOpen Access

The Safety and Feasibility of Laryngeal Mask Airway Management in Nonintubated Subxiphoid–Subcostal Thoracoscopic Thymectomy: Preliminary Results

View Full Paper

Ask AI

Bookmark

Share

Key Points

To evaluate the safety and feasibility of nonintubated subxiphoid–subcostal thoracoscopic thymectomy using laryngeal mask airway management in patients with thymic tumors or myasthenia gravis.
Retrospective review of N=61 consecutive patients undergoing nonintubated subxiphoid–subcostal thoracoscopic thymectomy between January 2021 and January 2024.
Patients underwent either extended thymectomy (n=19 with myasthenia gravis) or partial thymectomy (n=42) using a laryngeal mask airway with mechanical ventilation.
Mean surgical duration was 118.8 ± 32.5 min; intraoperative lowest pulse oxygen saturation was 96.2% ± 2.9% and peak end-tidal carbon dioxide was 41.8 ± 7.5 mm Hg.
Conversion to endotracheal intubation occurred in 1 patient due to hypercapnia and persistent hypoxia, while 1 patient required conversion to sternotomy due to mediastinal adhesions.
Mean postoperative hospital stay was 2.9 ± 0.7 days, with low rates of minor complications (sore throat n=3, nausea/vomiting n=2, pneumonia n=2) and zero mortality or phrenic nerve injury.

No abstract yet

We only have this paper's title and publication details.

Read it at the source

Implication

Retrospective study demonstrates favorable safety and feasibility for laryngeal mask airway thymectomy, suggesting an effective alternative to conventional tracheal intubation.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Cao et al. (2026) studied this question.

synapsesocial.com/papers/6a81794cf2fb91fc834ac69d https://doi.org/10.1016/j.jss.2026.07.028

View Full Paper

Ask AI

Bookmark

Share

The Safety and Feasibility of Laryngeal Mask Airway Management in Nonintubated Subxiphoid–Subcostal Thoracoscopic Thymectomy: Preliminary Results

Key Points

No abstract yet

Implication

Discussion

Cite This Study

The Safety and Feasibility of Laryngeal Mask Airway Management in Nonintubated Subxiphoid–Subcostal Thoracoscopic Thymectomy: Preliminary Results

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Keep reading

Keep reading