A Successful Direct Phrenic Nerve Reconstruction in the Course of Malignant Thymoma Resection.
- Author:
Seong Kwang LEE
1
;
Yeon Soo KIM
;
Kyung Taek PARK
;
Woo Ik JANG
;
Ji Yoon RYOO
;
Chang Young KIM
;
Seong Joon CHO
;
Hyunmin CHOE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
- Publication Type:Case Report
- Keywords:
Phrenic nerve;
Thymoma
- MeSH:
Female;
Fluoroscopy;
Follow-Up Studies;
Humans;
Middle Aged;
Phrenic Nerve;
Recurrence;
Respiratory Function Tests;
Thymoma
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(3):401-403
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed nerve resection and reconstruction of the phrenic nerve in a 63-year-old female patient who underwent complete resection of a malignant thymoma. The left phrenic nerve was completely encased by the tumor for 2 cm. Thus, a 3 cm long piece of phrenic nerve with 5 mm margins of safety on each end was resected and it was directly anastomosed in an end-to-end fashion. At 11 months after reconstruction, fluoroscopy demonstrated adequate and symmetric motion of both hemidiaphragms, which indicated the restoration of phrenic nerve function. The pulmonary function test results were comparable to those obtained preoperatively at 30 months. There has been no evidence of recurrence at the recent follow up visits.
