Super-minimally invasive bilateral thoracoscopic extended thymectomy
10.3760/cma.j.issn.1001-4497.2017.03.003
- VernacularTitle:胸腺瘤合并重症肌无力双侧胸腔镜胸腺扩大切除术
- Author:
Wei WANG
;
Dazhong LIU
;
Hao XU
;
Yi LI
;
Lei YANG
;
Linyou ZHANG
- Keywords:
Thymoma;
Myasthenia gravis;
Jhoracic surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(3):135-136
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present the technique of super-minimally invasive bilateral thoracoscopic extended thymectomy,and evaluate the early clinical results by using of this technique.Methods Twenty-three patients with myasthenia gravis (MG) with thymoma underwent with super-minimally invasive bilateral thoracoscopic extended thymectomy in our institution between July 2014 and January 2016.Two operate-poles are 5mm trocar,one is three intercostal space at the anterior axillary line,and the other is four intercostal space at the midclavicular line.A 10 mm trocar is inserted through the 6th intercostal space in the mid axillary line.The perioperative variables and outcomes were collected and analysed retrospectively.Results In the 23 patients who underwent Super-Minimally invasive bilateral thoracoscopic extended thymectomy,the mean operation time was (163.2 ± 14.4) min and the average blood loss was (148.2 ± 39.5) ml.The chest tube duration was (4.14 ± 0.27) days.There were no mortalities.Conclusion Our preliminary report showed that Super-Minimally invasive bilateral thoracoscopic extended thymectomy for mediastinal tumour resection was a promising and safe technique with regard to short-term clinical outcome.