Comparison of subxiphoid vs intercostal VATS approaches for anterior mediastinal tumors: a retrospective cohort study with focus on elderly patients

Both S-VATS and I-VATS for anterior mediastinal tumor resection are safe and feasible in geriatric patients. The S-VATS approach may have the advantage of better early postoperative pain control, although this must be interpreted with caution due to the small sample size and evaluation of pain at a single postoperative point. Further studies are warranted to validate these findings, including larger prospective studies.