Abstract

outcomes by decreasing morbidity, shortening hospital stay, and providing a more desirable cosmetic result, particularly when comparing thoracotomy with thoracoscopy. However, it remains imperative that the fundamental principles that apply to an open approach are followed when performing minimally invasive surgery. In the case of mediastinal repositioning, key points are thorough lysis of adhesions to permit mobilization of the mediastinal structures, placement of prostheses to maintain mediastinal position, and intraoperative bronchoscopic verification of improved airway patency. Here we strictly adhered to these principles. We demonstrated that it is feasible to perform mediastinal repositioning for postpneumonectomy syndrome by using a minimally invasive approach.

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