Fig. 2
A 4 cm length incision was performed at the level of the fourth intercostal among the anterior and middle axillary line (Part a). A well capsulated thymoma is visible (Part b). Thymic dissection is conducted parallel to left phrenic nerve (Part c). The left thyroid-thymic ligament is shown before its section (Part d). The "en bloc specimen consisting of thymus, peri-thymic and peri-cardiophrenic fatty tissue (Part e). Closure of left incision with a chest drainage (Part f)