Subxiphoid video-assisted thoracoscopic thymectomy versus traditional video-assisted thoracic surgery thymectomy for myasthenia gravis: A case control study
10.7507/1007-4848.201710010
- VernacularTitle:胸腔镜胸腺切除术剑突下入路与侧胸入路的病例对照研究
- Author:
XU Pengliang
1
;
CHEN Gang
1
;
ZHU Yongjun
1
;
SONG Yang
1
;
PANG Liewen
1
;
CHEN Zhiming
1
Author Information
1. Department of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, P.R.China
- Publication Type:Journal Article
- Keywords:
Thymectomy;
thoracoscopy;
postoperative pain
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(9):799-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical outcomes of subxiphoid video-assisted thoracoscopic thymectomy for myasthenia gravis. Methods The clinical data of the 85 patients undergoing video-assisted thoracoscopic thymectomy for myasthenia gravis in Department of Cardiothoracic Surgery, Huashan Hospital affiliated to Fudan University between January 2014 and July 2016 were studied. Subxiphoid approach video-assisted thoracoscopic thymectomy (SXVT) and through traditional unilateral approach video-assisted thymectomy (TVAT) were compared. The clinical outcomes of SXVT and TVAT were compared. Results There was no surgical death and no statistical difference between the two groups in drainage time, postoperative volume of drainage, postoperative hospital stay and bleeding volume during operation (P>0.05). However, the acute chest pain after surgery, as well as the postoperative chest pain, and operative time were less in the the SXVT group than that in the TVAT group (P<0.05). Conclusion SXVT for myasthenia gravis is safe and executable. It can alleviate intercostal neuralgia and abnormal chest wall feeling. And it should be considered in the treatment of myasthenia gravis.
