Single incision extended video assisted transcervical thymectomy

Video-assisted transcervical thymectomy for myasthenia gravis.

A 49-year-old female presents with ptosis, diplopia and dysphagia and is diagnosed with myasthenia gravis by electromyography (Figure 1). The patient reports some improvement of her symptoms with pyridostigmine, but due to increasing symptoms, she has been placed on prednisone and mycophenolate mofetil. She is otherwise healthy and takes no other medications. Computed tomography imaging shows n...

Video-assisted thoracoscopic thymectomy.

Access from the right chest is generally easier. In this case however, the thymoma was predominantly left-sided and therefore a left-sided approach was preferred. The anesthetist places a double lumen tube to allow isolation of the required lung. The patient is placed with the chest elevated to an angle of around 30 degrees. This allows the plane between the sternum and thymus to be developed e...

Single incision video-assisted thoracoscopic anatomic segmentectomy.

Video-assisted thoracoscopic extended thymectomy in myasthenic children

Myasthenia gravis (MG) is an autoimmune disease marked by weakness of voluntary musculature. Medical and surgical therapy of adult myasthenia is well documented. There is little pediatric surgical evidence, only a few case reports being available. The aim of this paper is to verify whether the surgical and anesthesiological techniques can warrant an early and safe discharge from the operating r...

Uniportal video-assisted thoracoscopic thymectomy

Thymectomy is the treatment for thymoma or Myasthenia Gravis patients. With the development of thoracoscopic surgical instruments and techniques in recent years, single port video assisted thoracoscopic thymectomy is increasingly practiced for such patients. Although single port thymectomy is feasible and may be preferable, there is a lack of detailed step-by-step procedures outlined in the lit...