We evaluated the results of 23 extended thymectomies performed by a left thoracoscopic approach as a primary or completion procedure in myasthenic patients. The indication for the operation was myasthenia gravis without thymoma in 21 patients and with encapsulated thymoma in 2 patients. Conversion to median sternotomy was necessary in one patient. There was neither operative mortality nor major morbidity. At one-year, cut of 20 patients available for follow-up, 3 patients were in remission, and 13 were improved. The results achieved in this series are promising and lead us to believe that thoracoscopic extended thymectomy will have increasing use in the surgical setting of myasthenia gravis.
Mineo, T., Pompeo, E., Ambrogi, V., Cristino, B., Bernardi, G. (1998). Left thoracoscopic approach to the thymus in myasthenic patients. In 2ND INTERNATIONAL CONGRESS OF THORAX SURGERY (pp.237-239). BOLOGNA : EDITRICE COMPOSITORI.
Left thoracoscopic approach to the thymus in myasthenic patients
POMPEO, EUGENIO;AMBROGI, VINCENZO;CRISTINO, BENEDETTO;BERNARDI, GIORGIO
1998-01-01
Abstract
We evaluated the results of 23 extended thymectomies performed by a left thoracoscopic approach as a primary or completion procedure in myasthenic patients. The indication for the operation was myasthenia gravis without thymoma in 21 patients and with encapsulated thymoma in 2 patients. Conversion to median sternotomy was necessary in one patient. There was neither operative mortality nor major morbidity. At one-year, cut of 20 patients available for follow-up, 3 patients were in remission, and 13 were improved. The results achieved in this series are promising and lead us to believe that thoracoscopic extended thymectomy will have increasing use in the surgical setting of myasthenia gravis.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
