Xiphoidectomy

Gastric Cancer. 2003;6(2):127-9. doi: 10.1007/s10120-003-0237-4.

Abstract

Complex surgical procedures in the upper abdomen required ear exposure. To improve exposure xiphoidectomy is indicated; however, in the past there was an extensive time commitment and unpredictable bleeding. We describe a rapid and bloodless approach to xiphoidectomy, utilizing a self-retaining retractor, controlled osteotomy, and complete removal to the xiphisternal junction. The xiphoid bone is dissected with high-voltage electrosurgery, denatured, and resected completely. Bleeding points are easily controlled with electrocoagulation. This procedure allows optimal exposure to the most superior aspect of the abdominal cavity.

Publication types

  • Review

MeSH terms

  • Diaphragm / blood supply
  • Diaphragm / pathology
  • Diaphragm / surgery
  • Digestive System Surgical Procedures / methods*
  • Hepatic Veins / surgery
  • Humans
  • Liver / blood supply
  • Liver / pathology
  • Liver / surgery
  • Stomach Neoplasms / surgery
  • Xiphoid Bone / pathology
  • Xiphoid Bone / surgery*