Video assisted trans-cervical thymectomy: a minimally invasive approach to treat non-thymomatous myasthenia gravis.
نویسندگان
چکیده
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 visualization, and discuss the pro and cons over the classic trans-cervical approach or thymectomies performed by VATS or sternotomy.
منابع مشابه
Minimally invasive radical thymectomy.
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 t...
متن کاملExtended transcervical thymectomy with partial upper sternotomy: results in non-thymomatous patients with myasthenia gravis.
OBJECTIVES Thymectomy is a recognized treatment for myasthenia gravis (MG), but the optimal surgical approach is yet to be determined. This study analysed the results in non-thymomatous MG patients treated at our institution using an extended transcervical access with partial upper sternotomy (TC-US), in order to describe cumulative incidence of remission and its predictors. METHODS In the pe...
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BACKGROUND Myasthenia gravis is an autoimmune neuromuscular disorder characterized by the production of abnormal autoantibodies directed against the receptors present in the neuromuscular junction. It has been the standard practice to offer thymectomy in all generalized myasthenia gravis patients despite the lack of robust evidence. OBJECTIVES The objectives of this study are to describe the ...
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OBJECTIVE While thymectomy is an accepted treatment for myasthenia gravis (MG), video-assisted thoracoscopic surgery (VATS) thymectomy has recently become a popular surgical treatment, especially for non-thymomatous MG (NTMG). This study aims to compare the results of VATS thymectomy and trans-sternal thymectomy, and identify prognostic factors in NTMG patients after thymectomy. METHODS A 10-...
متن کاملMinimally invasive mediastinal surgery.
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عنوان ژورنال:
- Annali italiani di chirurgia
دوره 84 6 شماره
صفحات -
تاریخ انتشار 2013