剑突下双拉钩无充气式手术在前纵隔肿瘤治疗中的进展研究

Progress of Non-Pneumatic Double Hook under Blade Surgery in the Treatment of Anterior Mediastinal Tumors

摘要: 前纵隔肿瘤是临床常见疾病，其诊疗过程中常需对纵隔进行分区定位，例如位于右气管及心包前间隙的病变即属于前纵隔肿瘤范畴。外科手术是该类肿瘤的主要治疗手段。传统开胸术因创伤大、并发症多，已逐渐被胸腔镜技术所取代。目前，多种微创术式，如单侧或双侧肋间入路胸腔镜手术、剑突下胸腔镜手术以及达芬奇机器人辅助手术等，已在临床广泛应用，并取得良好疗效。然而，目前仍缺乏系统性的手术效果评估体系。近年来，随着微创外科理念与腔镜技术的进步，剑突下双拉钩手术因其创伤小、并发症少、术后康复快等优点，受到广泛关注与应用。本文旨在对经剑突下双拉钩入路治疗前纵隔肿瘤的手术策略进行综述，为临床实践提供参考。

Abstract: Anterior mediastinal tumors are clinically common conditions that often require mediastinal segmentation during diagnosis and treatment. For instance, lesions located in the right thoracic and pericardial anterior compartments fall within this category. Surgical intervention remains the primary treatment modality for these tumors. Traditional open-chest procedures, characterized by significant trauma and multiple complications, have been increasingly replaced by thoracoscopic techniques. Currently, various minimally invasive approaches—including unilateral or bilateral intercostal thoracoscopic procedures, subxiphoid thoracoscopic surgery, and da Vinci robotic-assisted surgery—have gained widespread clinical application with proven efficacy. However, a systematic surgical outcome evaluation framework remains underdeveloped. Recent advancements in minimally invasive surgical concepts and thoracoscopic technologies have led to the growing popularity of subxiphoid two-arm manipulation surgery, which offers advantages such as reduced trauma, fewer complications, and faster postoperative recovery. This article aims to review surgical strategies for anterior mediastinal tumors treated via subxiphoid two-arm manipulation, providing valuable references for clinical practice.