Thoracoscopic Thymectomy – Initial Experience
Authors:
M. Mitták; J. Kretek; J. Hamžík; P. Guziana
Authors‘ workplace:
Chirurgická klinika Fakultní nemocnice s poliklinikou Ostrava-Poruba, přednosta
doc. MUDr. J. Dostalík, CSc.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 9, s. 452-455.
Category:
Monothematic special - Original
Overview
Video-assisted thymectomy and its variations is not generally accepted approach in surgical treatment of myasthenia gravis yet. Authors present their initial experience with videothoracoscopic technique in surgery for thymic cysts and myasthenia gravis. Authors prefer left thoracoscopic approach which allows good view to the thymus in mediastinum and neck. Recent studies confirm generally known advantages of miniinvasive surgery and show no differences between open and thoracoscopic thymectomy in terms of treatment outcome of myasthenia gravis. Nevertheless, prospective randomized study comparing open and thoracoscopic thymectomy in myasthenia gravis is not known.
Sources
1. Schützner, J., Šmat, V. Myasthenia gravis. Komplexní pojetí a chirurgická léčba. 1. vyd. Praha, Galén 2005, 138 s.
2. Bachmann, K., Burkhardt, D., Schreiter, I., Kaifi, J., Busch, C., Thayssen, G., Izbicki, J. R., Strate, T. Long-term outcome and quality of life after open and thoracoscopic thymectomy for myasthenia gravis: analysis of 131 patients. Surg. Endosc., 2008, 23., Epub.
3. Rückert, J. C., Ismail, M., Swierzy, M., Braumann, C., Badakhshi, H., Rogalla, P., Neosel, A., Rückert, R. I., Miller, J. M. Minimally invasive thymus surgery. Chirurg, 2008, 79, s. 18–25.
4. Hsu, C. P., Chuang, C. Y., Hsu, N. Y., Shia, S. E. Subxiphoid approach for video-assisted thoracoscopic extended thymectomy in treating myasthenia gravis. Interact Cardiovasc. Thorac. Surg., 2002, 1, s. 4–8.
5. Cakar, F., Werner, P., Augustin, F., Schmidt, T., Wolf-Magele, A., Sieb, M., Bodner, J. A comparison of outcomes after robotic open extended thymectomy for myasthenia gravis. Eur. J. Cardio-thorac. Surg., 2007, 31, s. 501–504.
6. Tomulescu V., Ion V., Kosa A., Sgarbura O., Popescu I. Thoracoscopic thymectomy mid-term results. Ann. Thorac. Surg., 2006, 82, s. 1003–1007.
7. Rea, F., Marulli, G., Bortolotti, L., Feltracco, P., Zuin, A., Sartori, F. Experience with the „da Vinci“ robotic system for thymectomy in patients with myasthenia gravis: report of 33 cases. Ann. Thorac. Surg., 2006, 81, s. 455–459.
8. Wright, G. M., Barnett, S., Clarke, C. P. Video-assisted thoracoscopic thymectomy for myasthenia gravis. Intern. Med. J., 2002, 32, s. 367–371.
9. Wagner, A. J., Cortes, R. A., Strober, J., Grethel, E. J., Clifton, M. S., Harrison, M. R., Farmer, D. L., Nobuhara, K. K., Lee, H. Long-term follow-up after thymectomy for myasthenia gravis: thoracoscopic vs open. J. Pediatr. Surg., 2006, 41, s. 50–54.
10. Shigemura, N., Shiono, H., Inoue, M., Minami, M., Ohta, M., Okumura, M., Matsuda, H. Inclusion of the transcervical approach in video-assisted thoracoscopic extended thymectomy (VATET) for myasthenia gravis: a prospective trial. Surg. Endosc., 2006, 20, s. 1614–1618.
11. Gellert, K., Böttger, J., Martin, T., Werner, J., Mangler, C., Martin, H. Thoracoscopic thymectomy in the treatment concept for myasthenia gravis. Surg. Technol. Int., 2005, 14, s. 99–104.
12. Hiratsuka, M., Iwasaki, A., Shirakusa, T., Yoneda, S., Yamamoto, S., Shiraishi, T., Tsuboi, Y. Role of video-assisted thoracic surgery for the treatment of myasthenia gravis: extended thymectomy by median sternotomy versus the thoracoscopic approach with sternal lifting. Int. Surg., 2006, 91, s. 44–51.
13. Chang, P. C., Chou, S. H., Kao, E. L., Cheng, Y. J., Chuang, H. Y., Liu, C. K., Lai, C. L., Huang, M. F. Bilateral video-assisted thoracoscopic thymectomy vs. extended transsternal thymectomy in myasthenia gravis: a prospective study. Eur. Surg. Res., 2005, 37, s. 199–203.
14. Lin, T. S., Tzao, C., Lee, S. C., Wu, C. Y., Shy, C. J., Lee, C. Y., Chou, M. C. Comparison between video-assisted thoracoscopic thymectomy and transternal thymectomy for myasthenia gravis (analysis of 82 cases). Int. Surg., 2005, 90, s. 36–41.
15. Rückert, J. C., Sobel, H. K., Göhring, S., Einhäupl, K. M., Müller, J. M. Matched-pair comparison of three different approaches for thymectomy in myasthenia gravis. Surg. Endosc., 2003, 17, s. 711-715.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 9
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