Minimally invasive radical thymectomy.
نویسندگان
چکیده
We present the case of a 54-year-old female with longstanding history of myasthenia gravis, on whom an anti ACH antibody test was positive. We performed a minimally invasive video-assisted thoracoscopic thymectomy (VATS) on this patient. Preoperatively, the patient was stabilized with intravenous immunoglobulin (IVIG) and Mestinon (Pyridostigmine). The pre-operative workup included a computed tomography scan of the chest which showed thymic hyperplasia and no evidence of thymoma. Bilateral VATS radical thymectomy (Bi-VATS) is described, with complete exenteration of the mediastinum and cervical region (Video 1).
منابع مشابه
Thymectomy in Myasthenia Gravis.
In recent years, thymectomy has become a widespread procedure in the treatment of myasthenia gravis (MG). Likelihood of remission was highest in preoperative mild disease classification (Osserman classification 1, 2A). In absence of thymoma or hyperplasia, there was no relationship between age and gender in remission with thymectomy. In MG treatment, randomized trials that compare conservative ...
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Contemporary surgical options to remove the thymus gland include median sternotomy with extended resection or minimally invasive techniques. Transcervical thymectomy has been criticized as potentially giving a "lesser" thymectomy. We describe the trans cervical approach with telescope enhancement using a standard VATS camera. This report describes the method emphasising the excellent visualizat...
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BACKGROUND Thymectomy is the mainstay of treatment for thymoma and other anterior mediastinal tumors, and is often utilized in the management of patients with myasthenia gravis (MG). While traditionally approached through a median sternotomy, minimally invasive approaches to thymectomy have increasingly emerged. The present systematic review was conducted to compare perioperative and clinical o...
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ورودعنوان ژورنال:
- Annals of cardiothoracic surgery
دوره 5 1 شماره
صفحات -
تاریخ انتشار 2016